A client's last menstrual period was April 11. Using Nägele's rule, her estimated date of birth (EDB) would be:
February 18
January 18
January 8
December 28
December 18
The Correct Answer is C
Choice A Reason: This is incorrect because it adds 10 months and 7 days to the last menstrual period, which is not Nägele's rule.
Choice B Reason: This is incorrect because it adds 9 months and 7 days to the last menstrual period, which is not Nägele's rule.
Choice C Reason: This is correct because it follows Nägele's rule, which is to subtract 3 months and add 7 days to the last menstrual period.
Choice D Reason: This is incorrect because it subtracts 4 months and adds 7 days to the last menstrual period, which is not Nägele's rule.
Choice E Reason: This is incorrect because it subtracts 4 months and adds 17 days to the last menstrual period, which is not Nägele's rule.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A: Striae gravidarum are stretch marks that appear on the abdomen, breasts, or thighs during pregnancy. They are caused by the tearing of the connective tissue in the dermis due to rapid growth or weight gain.
Choice B: Linea nigra is a dark vertical line that runs from the umbilicus to the pubic area. It is caused by increased melanin production due to hormonal changes during pregnancy. This is the correct choice because it matches the description in the question.
Choice C: Vascular spiders are dilated blood vessels that appear on the skin as red or purple spider-like lesions. They are caused by increased estrogen levels and blood volume during pregnancy. They are usually found on the face, neck, chest, or arms.
Choice D: Melasma is a condition that causes brown or gray patches on the face, especially on the forehead, cheeks, nose, or upper lip. It is caused by increased melanin production due to sun exposure and hormonal changes during pregnancy. It is also known as chloasma or the mask of pregnancy.
Correct Answer is A
Explanation
Choice A reason: Hemorrhage is the most life-threatening complication of a ruptured ectopic pregnancy, as it can lead to hypovolemic shock and death. The nurse should monitor the client's vital signs, blood loss, and level of consciousness, and administer fluids and blood products as ordered.
Choice B reason: Edema is not a common sign of a ruptured ectopic pregnancy, and it is not a priority over hemorrhage. Edema may be caused by other conditions, such as heart failure, kidney disease, or venous insufficiency.
Choice C reason: Infection is a possible complication of a ruptured ectopic pregnancy, but it is not as urgent as hemorrhage. Infection may manifest as fever, chills, malaise, or foul-smelling vaginal discharge. The nurse should administer antibiotics as ordered and monitor the client's temperature and white blood cell count.
Choice D reason: Jaundice is not a typical symptom of a ruptured ectopic pregnancy, and it is not a priority over hemorrhage. Jaundice may indicate liver dysfunction or hemolytic anemia, which are unrelated to ectopic pregnancy. The nurse should assess the client's skin and sclera color, and check the liver enzymes and bilirubin levels.
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