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 A

Explanation

Choice A reason:
Cervical dilation is a definitive sign that labor has begun. During labor, the cervix dilates to allow the baby to pass through the birth canal. The process of cervical dilation begins gradually and progresses until it reaches 10 cm, which is considered full dilation. In a primigravida, or a woman who is pregnant for the first time, this process can take longer compared to women who have given birth before.

Choice B reason:
The presence of amniotic fluid in the vaginal vault could indicate that the client's water has broken, which can be a sign of labor. However, it is not a definitive sign of labor on its own, as the membranes can rupture before labor begins (prelabor rupture of membranes). It is also possible for a woman to have a leak of amniotic fluid without being in active labor.

Choice C reason:
Pain above the umbilicus is not typically associated with labor. Labor pains, or contractions, are usually felt as a tightening or cramping sensation that starts in the back and moves to the front of the abdomen. The pain is more commonly located in the lower abdomen and pelvic area.

Choice D reason:
A brownish vaginal discharge, often referred to as "bloody show," can be a sign that labor is approaching, but it does not confirm that labor has begun. The bloody show is caused by the expulsion of the mucus plug that blocks the cervical canal during pregnancy. While it indicates that the cervix is starting to change, it can occur days before labor starts.

A. Elevate the client's legs. B. Notify the provider. C. Place the client in a lateral position. D. Monitor vital signs every 5 minutes.

Correct Answer is C

Explanation

Choice A reason:
Elevating the client's legs can help increase venous return to the heart and may be beneficial in some cases of hypotension. However, it is not the first-line action for hypotension in a client with an epidural block during labor.

Choice B reason:
Notifying the provider is important, but it is not the immediate priority action. The provider should be informed after initial measures to stabilize the client's blood pressure have been taken.

Choice C reason:
Placing the client in a lateral position is the priority nursing action for hypotension during labor with an epidural block. This position helps improve uterine blood flow and can help increase blood pressure. It is a part of the initial management of hypotension in this situation.

Choice D reason:
Monitoring vital signs every 5 minutes is an important part of ongoing assessment but is not the immediate priority action. The nurse should first address the hypotension and then continue to monitor the client closely.

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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.)

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Naxlex Comprehensive Predictor Exams

A nurse midwife is examining a client who is a primigravida at 42 weeks of gestation and states that she believes she is in labor. Which of the following findings confirm to the nurse that the client is in labor?

Correct Answer is A

Explanation

A nurse is caring for a client who is in labor and has an epidural anesthesia block. The client's blood pressure is 80/40 mm Hg, and the fetal heart rate is 140/min. Which of the following is the priority nursing action?

Correct Answer is C

Explanation

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