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

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A: A clear liquid diet is not appropriate for a client with hyperemesis gravidarum, which is a severe form of nausea and vomiting during pregnancy that can lead to dehydration, electrolyte imbalance, and weight loss. A clear liquid diet does not provide adequate calories, protein, vitamins, or minerals for the client and the fetus.

Choice B: Administration of diethylstilbestrol is not indicated for a client with hyperemesis gravidarum. Diethylstilbestrol is a synthetic estrogen that was used in the past to prevent miscarriage and premature birth, but it was found to cause serious adverse effects such as vaginal cancer, infertility, and birth defects in the offspring.

Choice C: Total parenteral nutrition is the correct choice because it provides a complete and balanced source of nutrients through a central venous catheter. It is used for clients who cannot tolerate oral or enteral feeding due to severe gastrointestinal disorders such as hyperemesis gravidarum. It helps to prevent malnutrition, dehydration, and ketosis in the client and the fetus.

Choice D: Nothing by mouth is not a suitable option for a client with hyperemesis gravidarum. It can worsen the condition by causing starvation, acidosis, and ketosis. It can also increase the risk of aspiration pneumonia if the client vomits.

Correct Answer is ["2"]

Explanation

The correct answer is 2 mL. To calculate the volume to administer, the nurse should use the following formula:

Volume (mL) = Dose (units) / Concentration (units/mL)

Plugging in the given values, we get:

Volume (mL) = 1,200,000 units / 600,000 units/mL

Volume (mL) = 2 mL

Rounding to the nearest whole number, we get 2 mL.

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A client's last menstrual period was April 11. Using Nägele's rule, her estimated date of birth (EDB) would be:

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Naxlex Comprehensive Predictor Exams

A client with hyperemesis gravidarum is admitted to the facility after being cared for at home without success. What would the nurse expect to include in the client's plan of care?

Correct Answer is C

Explanation

Correct Answer is ["2"]

Explanation

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