A nurse in a prenatal clinic is caring for a client who is pregnant and asks the nurse for her estimated date of birth (EDB). The client's last menstrual period began on July 27. What is the client's EDB? (State the date in MMDD format. For example, July 27 is 0727.)

Answer and Explanation

The Correct Answer is ["0504"]

To calculate the estimated date of birth (EDB), also known as the due date, we use Naegele's Rule, which involves adding one year, subtracting three months, and adding seven days to the first day of the last menstrual period (LMP). Using this rule, if the LMP was on July 27, the EDB would be:

- Add one year: July 27, 2024
- Subtract three months: April 27, 2024
- Add seven days: May 4, 2024

Therefore, the EDB in MMDD format is 0504.
Reason:
Naegele's Rule is a standard way of calculating the due date for a pregnancy. The rule estimates the expected date of delivery (EDD) by adding one year, subtracting three months, and adding seven days to the date of a woman's last menstrual period (LMP). This calculation assumes a regular menstrual cycle of 28 days and ovulation occurring on the 14th day of the cycle. The EDB is typically set at 40 weeks from the LMP, which is approximately 280 days. While this method provides an estimate, only about 4% of births occur on the exact due date, and most births occur within a range of two weeks before or after the estimated due date.

It's important to note that the EDB is an estimate and can be influenced by factors such as the length of menstrual cycles, the exact day of ovulation, and the date of conception. Ultrasounds and other prenatal tests can provide additional information to refine the due date estimate as the pregnancy progresses.

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Correct Answer is D

Explanation

Choice A Reason:
Tocolytic therapy is not indicated for a client with a post-term pregnancy. Tocolytics are medications used to suppress premature labor, and a pregnancy at 42 weeks is considered post-term, not preterm.

Choice B Reason:
Braxton-Hicks contractions are normal occurrences during pregnancy and do not indicate preterm labor. They are often referred to as "false labor" because they do not lead to cervical dilation or effacement. Therefore, tocolytic therapy is not necessary.

Choice C Reason:
Administering tocolytic therapy in the case of fetal death is not appropriate. Tocolytics are used to delay preterm labor to allow for fetal maturation or to prolong pregnancy to administer corticosteroids for fetal lung development, which is not applicable in this scenario.

Choice D Reason:
Tocolytic therapy is appropriate for a client experiencing preterm labor at 26 weeks of gestation. The goal of tocolytic therapy is to delay delivery to allow for the administration of corticosteroids to accelerate fetal lung maturity or to transfer the client to a facility equipped for premature infants.

A. Provide a sitz bath to a client who has a fourth-degree laceration and is 2 days postpartum. B. Monitor vital signs during admission of a client who has gestational hypertension. C. Change the perineal pad of a client who just transferred from labor and delivery. D. Observe an area of redness on the breast of a client who is 1 day postpartum.

Correct Answer is C

Explanation

Choice A reason:
Providing a sitz bath to a client with a fourth-degree laceration is a task that requires clinical judgment and skill to assess the healing process and manage potential complications. This task should not be delegated to an AP as it falls outside their scope of practice.

Choice B reason:
Monitoring vital signs during the admission of a client with gestational hypertension involves assessment and interpretation of data to detect potential complications. This is a nursing responsibility and should not be delegated to an AP, as it requires clinical judgment and knowledge of gestational hypertension.

Choice C reason:
Changing the perineal pad of a client who just transferred from labor and delivery is a task that can be delegated to an AP. This task does not require the AP to make assessments or clinical judgments, which makes it appropriate for delegation. The nurse should ensure that the AP has been trained and is competent in performing this task.

Choice D reason:
Observing an area of redness on the breast of a client who is 1 day postpartum involves assessment skills to determine if the redness is indicative of an infection or other complication. This task should not be delegated to an AP, as it requires clinical judgment and knowledge of postpartum complications.

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A nurse in a prenatal clinic is caring for a client who is pregnant and asks the nurse for her estimated date of birth (EDB). The client's last menstrual period began on July 27. What is the client's EDB? (State the date in MMDD format. For example, July 27 is 0727.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for several clients. The nurse should recognize that it is safe to administer tocolytic therapy to which of the following clients?

Correct Answer is D

Explanation

A nurse on the postpartum unit is caring for a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP?

Correct Answer is C

Explanation

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