A nurse in a prenatal clinic is determining a client's estimated date of delivery using Naegele's rule.
The first day of her last menstrual period was April 4, 2023.
Which of the following dates should the nurse tell the client is her estimated date of delivery (EDD)?

The correct answer is choice d. Use a postpartum depression-screening tool with the client.

Choice A rationale:

Arranging for counseling is important for long-term support, but the first step is to accurately assess the client’s condition using a screening tool.

Choice B rationale:

Requesting a prescription for an antidepressant may be necessary, but it should follow a proper assessment and diagnosis.

Choice C rationale:

Reinforcing teaching about rest and sleep is beneficial, but it does not address the immediate need to assess the severity of the client’s symptoms.

Choice D rationale:

Using a postpartum depression-screening tool is the first step to identify the severity of the client’s symptoms and determine the appropriate course of action.

The correct answer is choicea. “I should stimulate my nipples by squeezing softly.”

Choice A rationale:

Stimulating the nipples by squeezing them can encourage milk production, which is not recommended for a client who is bottle feeding and trying to reduce breast engorgement.

Choice B rationale:

Applying ice packs to the breasts can help reduce swelling and provide relief from engorgement.

Choice C rationale:

Wearing a snug-fitting bra can help support the breasts and reduce discomfort associated with engorgement.

Choice D rationale:

Placing crushed cabbage leaves on the breasts is a common home remedy that can help reduce swelling and discomfort from engorgement.