A nurse in a prenatal clinic is caring for a client whose blood pressure is 80/40 mm Hg. The client’s last menstrual period was on May 4, 2023.
What would be the estimated due date for the client?
April 27, 2024
February 27, 2024
March 11, 2024
February 11, 2024
The Correct Answer is C
Question: Estimated due date using Nägele’s Rule.
Step 1: Add 7 days to the first day of the last menstrual period. May 4 + 7 days = May 11
Step 2: Subtract 3 months from the result. May 11 - 3 months = February 11
Step 3: Add 1 year to the result. February 11 + 1 year = February 11, 2024
Answer: February 11, 2024
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Related Questions
Correct Answer is D
Explanation
Choice A rationale
Vaginal discharge, or leukorrhea, often increases during pregnancy due to higher levels of estrogen and greater blood flow to the vaginal area. It does not typically decrease before labor.
Choice B rationale
Weight gain is expected during pregnancy, but a sudden gain of 0.5 to 1.3 kg is not a typical sign that labor is about to start.
Choice C rationale
Urinary retention is not a typical sign that labor is about to start. In fact, many women find that they need to urinate more frequently as labor approaches, due to increased pressure on the bladder.
Choice D rationale
A surge of energy, often called “nesting,” can be a sign that labor is about to start. Some women experience a burst of energy and the desire to prepare their home for the baby in the days or hours before labor begins.
Correct Answer is B
Explanation
To calculate the estimated date of birth (EDB) using the first day of the last menstrual period (LMP), you can use Naegele’s Rule. This rule adds 280 days (or 40 weeks) to the first day of the LMP.
Given the LMP of July 27 (0727):
- Add 1 year: July 27, 2023 becomes July 27, 2024.
- Add 7 days: July 27, 2024 becomes August 3, 2024.
- Subtract 3 months: August 3, 2024 becomes May 3, 2024.
So, the estimated date of birth (EDB) is May 3, 2024 (0503).
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