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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
If a prolapsed cord is identified, the nurse should perform a vaginal examination and ensure the presenting part is pushed upwards to relieve pressure on the cord.
Choice A) is not correct because while it is important to cover the cord with a sterile saline saturated towel if it has prolapsed externally 1, it is not the next action after calling for assistance and notifying the provider.
Choice C) is not correct because administering oxygen via non-rebreather mask at 8 L/min is not mentioned as an immediate intervention for a prolapsed cord .
Choice D) is not correct because initiating an infusion of IV fluids for the client is not mentioned as an immediate intervention for a prolapsed cord .
Correct Answer is D
Explanation
A nurse conducting a class for a group of clients about birth control should include information about having an annual examination to assess their diaphragm.
A diaphragm should be replaced at least every 2 years and it’s important to
bring it to an annual checkup so the healthcare provider can check the fit.
Choice A is incorrect because spermicide should be used immediately before sexual intercourse, not 3 hours prior.
Choice B is incorrect because fertility can return immediately after IUD removal.
Choice C is incorrect because emergency contraception is intended for backup contraception only and not as a primary method of birth control
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