A nurse is using Nägele's Rule to calculate the expected delivery date of a client who reports that the first day of her last menstrual cycle was July 28th.
Which of the following dates should the nurse document as the client's expected delivery date?
April 21st.
May 5th.
May 21st.
April 4th.
The Correct Answer is B
Nägele’s Rule is a method for estimating the expected date of delivery (EDD) or confinement (EDC).
It involves adding seven days and one year, and subtracting three months, from the first day of the last menstrual period (LMP)1.
Using this rule, if the first day of the client’s last menstrual period was July 28th, then adding seven days would be August 4th.
Subtracting three months would be May 4th.
Adding one year would be May 4th of the following year.
Therefore, the nurse should document May 5th as the client’s expected delivery date.
Choice A is incorrect because April 21st is too early according to Nägele’s Rule calculation.
Choice C is incorrect because May 21st is too late according to Nägele’s Rule calculation.
Choice D is incorrect because April 4th is too early according to Nägele’s Rule calculation.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is E
Explanation
None of the choices provided indicate that suctioning of the nasopharynx is needed for a newborn.
Nasopharyngeal suctioning is performed to remove mucus or saliva from the back of the throat when a newborn is unable to cough or swallow. It is commonly used in infants with bronchiolitis.
Choice A, “The newborn’s respiratory rate is 32/min,” is not an answer because a respiratory rate of 32/min is within the normal range for a newborn.
Choice B, “The newborn’s respiratory rate is irregular,” is not an answer because irregular breathing paterns are common in newborns.
Choice C, “The newborn is beginning to cough,” is not an answer because coughing is a normal reflex that helps clear the airway.
Choice D, “The newborn’s pulse oximetry is 91,” is not an answer because pulse oximetry measures oxygen saturation and does not indicate the need for nasopharyngeal suctioning.
Correct Answer is A
Explanation
Broccoli is a good source of calcium for vegans.
Choice B is incorrect because bananas are not mentioned as a good source of calcium for vegans.
Choice C is incorrect because avocados are not mentioned as a good source of calcium for vegans.
Choice D is incorrect because potatoes are not mentioned as a good source of calcium for vegans.
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