During the preconception phase, the nurse should teach about which infectious diseases as risk factors for maternal complications? (Select all that apply).

Choice A rationale:

Limiting the time spent on exploration of intimate topics may result in incomplete information, leading to potential gaps in the patient's health history. It's essential to create a safe and supportive environment, allowing the patient to share necessary information freely.

Choice B rationale:

Avoiding questions that may embarrass the patient could prevent the nurse from gathering crucial information related to the patient's reproductive health. Sensitivity and non-judgmental communication are essential, enabling the patient to openly discuss sensitive topics.

Choice C rationale:

Using accepted medical terminology is important, but it should be balanced with clear communication. Complex medical terms might confuse the patient. It's essential to use language that the patient can understand, ensuring effective communication and a better understanding of their health.

Choice D rationale:

This statement indicates a correct understanding of the best approach when obtaining a reproductive health history. Explaining the purpose for the questions asked and how the information will be used builds trust and helps the patient feel more comfortable sharing sensitive information. It also ensures that the patient understands the relevance of the questions, fostering open communication between the patient and the healthcare provider.

To calculate the estimated date of confinement (EDC) using Nagele's rule, follow these steps:

1. Take the first day of the last menstrual period (LMP).

2. Add 7 days to that date.

3. Count back 3 months.

4. Add 1 year to the resulting date, and that will be the EDC.

In this case, the client's LMP started on December 1.

1. December 1

2. December 8 (adding 7 days)

3. September 8 (counting back 3 months)

4. Add 1 year: September 8 of the following year

So, the most accurate EDC for the client using Nagele's rule would be September 8 of the following year.