A nurse is collecting data from a client at their first prenatal appointment. The client reports that the first day of their last menstrual period was September 17. Which of the following accurately represents the client's estimated date of delivery using Naegele's Rule?

June 24

June 14

June 10

June 20

Answer and Explanation

The Correct Answer is A

A.   EDD = LMP + 1 year - 3 months + 7 days. LMP: September 17. Subtract 3 months: June 17. Add 7 days: June 24
B.   EDD = LMP + 1 year - 3 months + 7 days. LMP: September 17. Subtract 3 months: June 17. Add 7 days: June 24
C.   EDD = LMP + 1 year - 3 months + 7 days. LMP: September 17. Subtract 3 months: June 17. Add 7 days: June 24
D.   EDD = LMP + 1 year - 3 months + 7 days. LMP: September 17. Subtract 3 months: June 17. Add 7 days: June 24

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Correct Answer is A

Explanation

A. Halfway between the symphysis pubis and the umbilicus. – Correct; at 16 weeks, the fundus is typically midway between the symphysis pubis and the umbilicus.

B. Just above the pubic bone – Incorrect; the fundus is at the pubic symphysis at 12 weeks, not 16 weeks.

C. The uterus would not be palpable at 16 weeks – Incorrect; the uterus is palpable by 12 weeks and grows above the symphysis pubis as pregnancy progresses.

D. At the umbilicus – Incorrect; the fundus reaches the umbilicus at 20 weeks, not 16 weeks.

A. Avoid the use of aspirin. B. Avoid consumption of alcohol. C. Eat foods fortified with folic acid. D. Increase intake of iron.

Correct Answer is C

Explanation

A. Avoid the use of aspirin. – Incorrect; aspirin use is not a major risk factor for neural tube defects (NTDs).

B. Avoid consumption of alcohol. – Incorrect; alcohol consumption can cause fetal alcohol syndrome, but it is not directly linked to NTDs.

C. Eat foods fortified with folic acid. – Correct; folic acid is essential for neural tube development, and adequate intake reduces the risk of NTDs, such as spina bifida and anencephaly.

D. Increase intake of iron. – Incorrect; iron is crucial for preventing anemia in pregnancy but does not significantly impact NTD risk.

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A nurse is collecting data from a client at their first prenatal appointment. The client reports that the first day of their last menstrual period was September 17. Which of the following accurately represents the client's estimated date of delivery using Naegele's Rule?

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Naxlex Comprehensive Predictor Exams

The client is 16 weeks pregnant. If the pregnancy is progressing as expected, where would the healthcare provider be able to palpate the uterine fundus?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a client about how to reduce the risk of giving birth to a newborn who has a neural tube defect. Which of the following instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

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