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 B

Explanation

Choice A rationale:

Diarrhea is not commonly associated with pramipexole use.

Choice B rationale:

Drowsiness is a common adverse effect of pramipexole and can impair the client's ability to perform tasks that require alertness.

Choice C rationale:

Tachypnea (rapid breathing) is not typically associated with pramipexole use.

Choice D rationale:

Bradycardia (slow heart rate) is not a common adverse effect of pramipexole.

A. Increased thirst B. Decreased secretions C. Flushing of the extremities D. Periods of apnea

Correct Answer is B

Explanation

Choice A rationale:

Increased thirst is a common manifestation during the dying process due to dehydration and reduced fluid intake.

Choice B rationale:

Decreased secretions can occur as the body's systems gradually shut down during the dying process.

Choice C rationale:

Flushing of the extremities, also known as mottling, can occur due to poor circulation as the body's systems shut down.

Choice D rationale:

Periods of apnea or irregular breathing patterns can occur as the body's respiratory system becomes less effective during the dying process.

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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 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.)