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
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Quickening – Correct; the first sensation of fetal movement, typically felt between 16-20 weeks of gestation.
B. Ballottement – Incorrect; this refers to a physical examination finding where the fetus rebounds when the cervix is tapped.
C. Lightening – Incorrect; this occurs later in pregnancy when the fetus drops into the pelvis before labor.
D. Nesting – Incorrect; this describes a surge of energy before labor, not fetal movement.
Correct Answer is D
Explanation
A. "This monitor gives me information related to fetal heart rate fluctuations during your labor." – Incorrect; the TOCO does not monitor fetal heart rate; the fetal heart rate is detected using a Doppler or fetal scalp electrode.
B. "This monitor measures the intensity and frequency of your contractions so I can observe labor progress." – Incorrect; the TOCO can measure frequency and duration, but not intensity (which requires an intrauterine pressure catheter).
C. "This monitor allows me to observe your labor progress. By observing the pattern, I can tell how strong your contractions are." – Incorrect; TOCO does not measure contraction strength, only duration and frequency.
D. "This monitor provides me with information related to the duration and frequency of your contractions." – Correct; a TOCO detects and records contraction frequency and duration, but not intensity.
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