A nurse at a clinic is counseling a client who has a positive pregnancy test. The first day of the client's last menstrual period was November 9. Use Nägele's rule to calculate the estimated date of delivery.

(Use the MMDD format with four numerals and no spaces or punctuation.)

Answer and Explanation

The Correct Answer is ["0816"]

To calculate the estimated date of delivery using Nägele's rule, follow these steps:

-Add 7 days to the first day of the last menstrual period. In this case, November 9 + 7 days = November 16.

- Subtract 3 months from the month of the last menstrual period. In this case, November - 3 months = August.

The estimated date of delivery is August 16

The rationale for this rule assumes that the average menstrual cycle is 28 days long and that ovulation occurs on day 14 of the cycle. Therefore, adding 7 days to the first day of the last menstrual period approximates the date of conception. Subtracting 3 months from the month of the last menstrual period adjusts for the difference between the lunar calendar (13 months) and the Gregorian calendar (12 months).

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Correct Answer is C

Explanation

Choice A rationale:

Taking a hot bath to relieve muscle spasms might exacerbate symptoms in individuals with multiple sclerosis due to heat sensitivity.

Choice B rationale:

Participating in high-impact exercise daily can be challenging for individuals with multiple sclerosis, who may experience fatigue and mobility issues.

Choice C rationale:

Adequate hydration is essential for individuals with multiple sclerosis to maintain overall health and support neurological function.

Choice D rationale:

Restricting daily intake of dietary fiber is not recommended, as fiber can aid in maintaining bowel regularity for individuals with multiple sclerosis.

A. "Keep the television on at a low volume in the background." B. "Decorate your partner's room with abstract paintings." C. "Reorient your partner daily to the day and time." D. "Use dim lighting in your home."

Correct Answer is A

Explanation

Choice A rationale:

Keeping the television on at a low volume in the background can provide sensory stimulation and a familiar environment for the client with Alzheimer's disease. It can also help decrease feelings of isolation and confusion.

Choice B rationale:

Abstract paintings may be confusing or agitating for a person with Alzheimer's disease. Familiar and recognizable decorations are more suitable.

Choice C rationale:

Reorienting the client daily to the day and time can be helpful, but it is not the priority teaching in this context.

Choice D rationale:

Using dim lighting is not recommended as it can contribute to confusion and disorientation in a person with Alzheimer's disease. Adequate lighting is important for safety and orientation.

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A nurse at a clinic is counseling a client who has a positive pregnancy test. The first day of the client's last menstrual period was November 9. Use Nägele's rule to calculate the estimated date of delivery. (Use the MMDD format with four numerals and no spaces or punctuation.)

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A nurse is planning teaching for a client who has multiple sclerosis. Which of the following instructions should the nurse plan to include?

Correct Answer is C

Explanation

A nurse is teaching the partner of a client who has a new diagnosis of Alzheimer's disease about home care. Which of the following information should the nurse include in the teaching?

Correct Answer is A

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A nurse at a clinic is counseling a client who has a positive pregnancy test. The first day of the client's last menstrual period was November 9. Use Nägele's rule to calculate the estimated date of delivery.

(Use the MMDD format with four numerals and no spaces or punctuation.)