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 A
Explanation
Choice A rationale
Maintain the patient on bed rest. This is a common nursing intervention for a patient who is experiencing an inevitable abortion. Bed rest can help reduce the risk of further complications, such as heavy bleeding. It can also provide the patient with a chance to rest and recover physically and emotionally.
Choice B rationale
Offer the option to view products of conception. This intervention may not be appropriate for all patients. While some patients may find it helpful to view the products of conception, others may find it distressing. It’s important to discuss this option with the patient and respect her wishes.
Choice C rationale
Administer oxygen via a nasal cannula. This intervention may not be necessary for all patients experiencing an inevitable abortion. While oxygen therapy can be used to treat hypoxia in patients with heavy bleeding, it’s not typically required unless the patient shows signs of hypoxia.
Choice D rationale
Instruct the patient to increase potassium-rich foods in the diet. This intervention is not typically part of the care plan for a patient experiencing an inevitable abortion. While a balanced diet is important for overall health, there’s no specific need to increase potassium-rich foods in the diet in this situation.
Correct Answer is C
Explanation
Choice A rationale
Estrogen is a hormone that plays a crucial role in the menstrual cycle and pregnancy. However, it is not the primary hormone that triggers ovulation.
Choice B rationale
Progesterone is a hormone that prepares the uterus for pregnancy after ovulation. It does not trigger ovulation.
Choice C rationale
Luteinizing Hormone (LH) is the hormone that triggers ovulation. A surge in LH levels causes the mature follicle in the ovary to burst and release an egg.
Choice D rationale
Prostaglandins are hormone-like substances involved in pain and inflammation. They do not trigger ovulation.
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