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A nurse in a prenatal clinic is determining a client’s estimated date of delivery using Naegels rule. The first day of her last menstrual period was May 4. Which of the following dates should the nurse tell the client is her estimated date of delivery?

February 11

April 27

February 27

April 11

Answer and Explanation

The Correct Answer is A

A. February 11:

The first day of the client’s last menstrual period is May 4.

Subtract 3 months: May → April → March → February.
Add 7 days: 4 + 7 = 11.
The EDD is February 11.

B. April 27: This date is beyond 40 weeks of pregnancy. Using Naegele's rule correctly should result in a February due date, not an April date.

C. February 27: While February is the correct month, this date does not align with Naegele’s Rule because the addition of 7 days to May 4 results in February 11, not February 27.

D. April 11: April 11 places the due date in the wrong month. This choice may result from adding 7 days without adjusting the months correctly when subtracting 3 months.

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Correct Answer is A

Explanation

A. Quickening: Quickening refers to the first movements of the fetus felt by the mother, which often feels like fluttering or light movements. It typically occurs between 16 and 20 weeks of gestation.

B. Chloasma: Chloasma refers to the darkened patches of skin that can appear on the face during pregnancy, also known as the "mask of pregnancy."

C. Lightening: Lightening refers to the descent of the fetus into the pelvis in preparation for birth, which usually occurs in the third trimester, not at 18 weeks of gestation.

D. Ballottement: Ballottement is a technique used during a pelvic examination where the examiner taps on the cervix and feels the fetus bounce back. It is a clinical sign rather than something the mother feels.

A. Maternal hypertension B. Maternal battering C. Maternal cigarette smoking D. Maternal cocaine use

Correct Answer is A

Explanation

A. Maternal hypertension: Maternal hypertension is the most common risk factor for placental abruption. High blood pressure can cause stress on the blood vessels in the placenta, leading to premature detachment from the uterine wall.

B. Maternal battering: While trauma, such as maternal battering, can lead to placental abruption, it is not the most common risk factor. It is, however, a significant risk in cases of physical trauma.

C. Maternal cigarette smoking: Cigarette smoking can increase the risk of placental abruption but is not as significant as hypertension.

D. Maternal cocaine use: Cocaine use is a known risk factor for placental abruption, but maternal hypertension remains the most common and significant risk factor.

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A nurse in a prenatal clinic is determining a client’s estimated date of delivery using Naegels rule. The first day of her last menstrual period was May 4. Which of the following dates should the nurse tell the client is her estimated date of delivery?

Nursing Test Bank

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Correct Answer is A

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