A nurse in a prenatal clinic is caring for a client who asks what her estimated date of delivery will be if her last menstrual period was May 4, 2022.
Which of the following is the appropriate response by the nurse?
February 11, 2023
February 27, 2023
April 11, 2023
April 27, 2023
The Correct Answer is A
Based on your last menstrual period (LMP) of May 4, 2022, your estimated date of delivery (EDD) would be around February 11, 2023."
Rationale:
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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.
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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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
While seeing a counselor could be beneficial for some women experiencing doubts and second thoughts about their pregnancy, it is not necessarily the first or only option. Many women experience a range of emotions during pregnancy, and these feelings are often temporary.
Choice B rationale
Telling a woman not to worry and that she will be fine once the baby is born may minimize her feelings and concerns. It’s important to validate her feelings and provide support.
Choice C rationale
While talking to a trusted family member or friend can be helpful, it’s not the only option. Some women may not feel comfortable discussing their feelings with family members.
Choice D rationale
Ambivalent feelings are quite common for women early in pregnancy. It’s a time of significant change, and it’s normal to have mixed feelings about it. It can be helpful to discuss these feelings with a healthcare provider, who can provide reassurance and resources.
Correct Answer is A
Explanation
Choice A rationale
Amniocentesis requires the presence of amniotic fluid. The procedure involves inserting a thin needle into the uterus, through the abdomen, to withdraw a small amount of amniotic fluid for testing.
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