A nurse is assessing a client during her first prenatal visit. The client reports March 20 as her last menstrual period.
Use Naegele's rule to calculate the estimated date of delivery.
(Use the MMDD format with four numerals and no spaces or punctuation: MMDD.)
The Correct Answer is ["1227"]
Naegele’s rule is a method for estimating the due date of a baby based on the woman’s last menstrual period (LMP).
It involves adding seven days and subtracting three months from the first day of the LMP.
It assumes a 28-day menstrual cycle and a 280-day gestation period, which may vary for different women 1.
Using this rule, if the client’s last menstrual period was March 20, then adding seven days would give March 27.
Subtracting three months would give December 27 of the previous year.
Adding one year would give December 27 of the current year, which is the estimated date of delivery in MMDD format: 1227.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","E"]
Explanation
The nurse should plan to immunize the client with the inactivated influenza vaccine (A) and the diphtheria-acellular pertussis vaccine (E).
The Centers for Disease Control and Prevention (CDC) recommends that pregnant women get two vaccines during every pregnancy: the inactivated flu vaccine and the Tdap vaccine.
The other vaccines listed are not recommended during pregnancy:
- The human papillomavirus vaccine is not recommended during pregnancy.
- The varicella vaccine is not recommended during pregnancy.
- The measles, mumps, and rubella vaccine is not recommended during pregnancy.
Correct Answer is A
Explanation
“I should increase my calcium intake while taking this medication.” A client who is receiving medroxyprogesterone IM for contraception should increase their calcium intake while taking this medication .
Medroxyprogesterone can cause loss of bone mineral density which can increase the risk of osteoporosis. Increasing calcium intake can help maintain bone health.
Choice B, “I should discontinue this medication if I experience spotting,” is not an answer because spotting is a common side effect of medroxyprogesterone and does not require discontinuation of the medication.
Choice C, “I will need to return to the clinic in 8 weeks for my next injection,” is not an answer because medroxyprogesterone IM is given every 3 months, not every 8 weeks.
Choice D, “I will get two shots each time I receive this medication,” is not an answer because only one injection is given at a time.
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