During a care conference, a nurse shares the latest research on improving breastfeeding success for first-time mothers.
Which Quality and Safety Education for Nurses competency does this action support?

Choice A rationale

While smoking during pregnancy can have many negative effects on a baby’s health, it is not specifically linked to hearing loss.

Choice B rationale

Type 1 diabetes mellitus is not caused by maternal smoking. It is an autoimmune condition where the body’s immune system destroys the cells that release insulin.

Choice C rationale

Congenital heart defects can have many causes, including genetic factors and certain maternal health conditions. However, they are not specifically linked to maternal smoking.

Choice D rationale

Smoking during pregnancy can cause intrauterine growth restriction. This is because nicotine and other harmful chemicals in cigarettes can cross the placenta and interfere with the baby’s blood supply. This can limit the amount of oxygen and nutrients the baby receives, leading to slower growth. Placental abruptionPlacental abruption Explore

Based on your last menstrual period (LMP) of May 4, 2022, your estimated date of delivery (EDD) would be around February 11, 2023."

Rationale:

• Calculating the Estimated Date of Delivery (EDD): The EDD can be calculated using Naegele's Rule, which is a standard method used to estimate the due date. The rule involves subtracting three months from the first day of the last menstrual period (LMP), adding seven days, and adjusting the year if necessary.

• Application of Naegele’s Rule:

  • Start with the first day of the LMP: May 4, 2022.
  • Subtract three months: February 4, 2022.
  • Add seven days: February 11, 2022.
  • Since the year needs to be adjusted, the EDD is February 11, 2023.

Key Points:

• Naegele’s Rule is commonly used but assumes a 28-day menstrual cycle and ovulation on the 14th day. Variations in cycle length can affect the accuracy.