A nurse is collecting data from a client who has just had a positive pregnancy test. The first day of her last menstrual period was February 16. Using Naegele's rule, what should the nurse tell the client the estimated date of birth is? (Use the MMDD format.)

Answer and Explanation

The Correct Answer is ["1123"]

- To use Naegele's rule, add 7 days to the first day of the last menstrual period and subtract 3 months.

- In this case, adding 7 days to February 16 gives February 23, and subtracting 3 months gives November 23.

- Therefore, the estimated date of birth is 1123.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Hyporeflexia is a significant adverse effect of magnesium sulfate therapy and can indicate magnesium toxicity. It is essential for the nurse to monitor deep tendon reflexes as part of the assessment when a client is receiving this medication. A decrease in reflexes may warrant immediate intervention and reporting to the provider.
B. Tachypnea is not a common adverse effect of magnesium sulfate; however, if it occurs, it may indicate respiratory distress, which should be assessed further.
C. Polyuria is not a typical adverse effect of magnesium sulfate. In fact, magnesium can lead to decreased urine output in some cases, especially with toxicity.
D. Agitation is also not a typical adverse effect of magnesium sulfate. Clients receiving magnesium sulfate may exhibit sedation rather than agitation.

A. Suprapubic area B. Umbilical area C. Above the left iliac crest D. Below the liver border on the right abdomen E. None F. None

Correct Answer is A

Explanation

A. At 12 weeks of gestation, the uterus has enlarged but is still mostly within the pelvis. Fetal heart tones are best auscultated over the suprapubic area using a Doppler, as the fundus has not yet risen to the level of the umbilicus.

B. The umbilical area corresponds approximately to 20 weeks gestation, so the fetal heart tones would not be audible there at 12 weeks.

C. Auscultating above the iliac crest would likely be too high at 12 weeks, as the uterus has not yet reached this level.

D. The area below the liver border on the right abdomen is too high for early gestation; fetal heart tones would not be reliably heard in this location at 12 weeks.

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A nurse is collecting data from a client who has just had a positive pregnancy test. The first day of her last menstrual period was February 16. Using Naegele's rule, what should the nurse tell the client the estimated date of birth is? (Use the MMDD format.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an antepartum unit is assisting with the care of a client who has preeclampsia and is receiving IV magnesium sulfate therapy. For which of the following adverse effects should the nurse monitor and report to the provider?

Correct Answer is A

Explanation

A nurse is auscultating fetal heart tones with a Doppler device for a client who is at 12 weeks of gestation. Where should the nurse expect to auscultate the fetal heart tones?

Correct Answer is A

Explanation

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