A nurse is calculating the estimated date of birth using Nagele’s rule for a client who is pregnant and whose last menstrual cycle started June 21. What is the estimated date of delivery in the next year?

March 14

March 21

March 28

April 4

Answer and Explanation

The Correct Answer is C

Step 1: According to Naegele’s rule, we start with the first day of the last menstrual period, which is June 212.
Step 2: We then subtract three months, which gives us March 212.
Step 3: Finally, we add seven days, which gives us March 282. So, the estimated date of delivery in the next year is March 28.

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Correct Answer is B

Explanation

Choice A rationale
Uterine hypertonicity is not typically associated with placenta previa. Hypertonicity refers to an overly active uterus with contractions that are too strong, too long, or too close together.
Choice B rationale
Painless vaginal bleeding is a classic symptom of placenta previa. The bleeding is usually bright red and can be heavy.
Choice C rationale

Persistent headache is not a typical symptom of placenta previa. It is more commonly associated with conditions like preeclampsia.
Choice D rationale
Fetal distress is not a direct symptom of placenta previa, but it can occur if the placenta is not providing enough oxygen and nutrients to the fetus.

A. Facial asymmetry B. Caput succedaneum C. Cephalohematoma D. Subgaleal hemorrhage . .

Correct Answer is A

Explanation

Choice A rationale
Facial asymmetry can occur as a result of a forceps-assisted birth. The pressure from the forceps can cause temporary changes in the shape of the baby’s face.
Choice B rationale
Caput succedaneum, a swelling of the scalp in a newborn, is not typically caused by forceps. It is more commonly associated with vacuum extraction.
Choice C rationale
Cephalohematoma, a bleeding underneath one of the cranial bones, is not typically caused by forceps. It is more commonly associated with vacuum extraction.
Choice D rationale

Subgaleal hemorrhage, bleeding into the space between the skull periosteum and the scalp galea aponeurosis, is not typically caused by forceps. It is more commonly associated with vacuum extraction.

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A nurse is calculating the estimated date of birth using Nagele’s rule for a client who is pregnant and whose last menstrual cycle started June 21. What is the estimated date of delivery in the next year?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a placenta previa. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is assessing a newborn who was born via a forceps-assisted birth. Which of the following findings should the nurse identify as an injury caused by the forceps?

Correct Answer is A

Explanation

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