A woman reports that her last normal menstrual period began on March 13, 2022.
What is this woman's expected delivery date using Nagele's rule?
Select one:
January 20, 2022
December 20, 2022
January 20, 2023
December 27, 2022
December 27, 2022
The Correct Answer is B
a. This does not follow the Nagele's rule.
b. Nagele's rule is a method to estimate the expected delivery date by adding 7 days and subtracting 3 months from the first day of the last normal menstrual period. In this case, adding 7 days to March 13 gives March 20, and subtracting 3 months gives December 20. Then, adding one year gives December 20, 2022.
c. This does not follow the Nagele's rule.
d. This does not follow the Nagele's rule.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
a. Terbutaline is a beta-agonist that can be used to relax the uterus and delay delivery in preterm labor.
b. Oxytocin is a hormone that is used to induce labor and is not typically used in preterm labor.
c. Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID) that can be used to decrease uterine contractions in preterm labor.
d. Misoprostol is a prostaglandin E1 (PGE1) analog that is used for cervical ripening and is not typically used in preterm labor.
e. Magnesium sulfate is a tocolytic agent that can be used to relax the uterus and delay delivery in preterm labor.
Correct Answer is D
Explanation
a. This is not the correct action for this situation.
b. This is not the correct action for this situation.
c. This is not the correct action for this situation.
d. The patient is experiencing uterine tachysystole, which is defined as more than five contractions in 10 minutes, lasting longer than 90 seconds, or with less than 30 seconds of interval between contractions. This can cause fetal hypoxia and distress, as evidenced by late decelerations in the fetal heart rate tracing. The nurse should stop the oxytocin, increase the IV fluid rate, position the patient on her left side, administer oxygen, and notify the provider.
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