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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

Answer and Explanation

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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Correct Answer is C

Explanation

Choice A rationale
The fundus should not be soft or to the right of the umbilicus 12 hours postpartum. A soft or displaced fundus could indicate uterine atony or a full bladder, both of which require intervention.
Choice B rationale
The fundus should not be soft or above the umbilicus 12 hours postpartum. This could indicate uterine atony, which could lead to postpartum hemorrhage.
Choice C rationale
The fundus should be firm and at the level of the umbilicus 12 hours postpartum. This indicates that the uterus is contracting properly to prevent excessive bleeding.
Choice D rationale
The fundus should not be to the left of the umbilicus 12 hours postpartum. This could indicate a full bladder, which can displace the uterus and interfere with uterine contractions

A. Allow the newborn to continue crying. B. Swaddle the newborn in a receiving blanket. C. Carry the newborn in a front or back pack. D. Keep the newborn in the center of a large crib. E. Take the newborn for a ride in the car. F. Take the newborn for a ride in the car.

Correct Answer is ["B","C","E"]

Explanation

Choice A rationale
Allowing the newborn to continue crying is not recommended. Persistent crying can be a sign of discomfort or distress in the newborn, and it is important to identify and address the cause.
Choice B rationale
Swaddling the newborn in a receiving blanket can provide a sense of security and comfort, which can help soothe a crying newborn.
Choice C rationale
Carrying the newborn in a front or back pack can provide close physical contact and movement, both of which can be soothing to a crying newborn.
Choice D rationale

Keeping the newborn in the center of a large crib does not directly address the issue of persistent crying.
Choice E rationale
Taking the newborn for a ride in the car can provide soothing movement and noise, which can help calm a crying newborn.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 12 hours postpartum following a vaginal delivery. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse in a pediatric clinic is caring for a client who is postpartum and asks the nurse what to do if her newborn is persistently crying. Which of the following strategies should the nurse suggest? (Select all that apply.)

Correct Answer is ["B","C","E"]

Explanation

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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?