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

Answer and Explanation

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:

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.

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Correct Answer is D

Explanation

Choice A rationale

Vitamin E is an important nutrient during pregnancy as it acts as an antioxidant, helping to protect cells from damage. However, its requirements do not decline during pregnancy due to an increase in body fat.

Choice B rationale

While iron is an important nutrient during pregnancy, it’s not necessary to double your intake. Iron needs do increase during pregnancy because it’s needed to make more blood to supply oxygen to the baby. However, this should be managed under the guidance of a healthcare provider.

Choice C rationale

While it’s true that calcium intake should be increased during breastfeeding, this is not specifically related to nutrition during pregnancy. During pregnancy, adequate calcium intake is important for the development of the baby’s bones and teeth.

Choice D rationale

Prenatal vitamins are designed to meet the increased nutritional needs of pregnancy, and they include a variety of vitamins and minerals. One of these is vitamin D, which helps the body absorb calcium and is important for the baby’s bone growth. Therefore, taking prenatal vitamins can indeed help to meet the need for increased vitamin D during pregnancy.

A. Maintain the patient on bed rest. B. Offer the option to view products of conception. C. Administer oxygen via a nasal cannula. D. Instruct the patient to increase potassium-rich foods in the diet.

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.

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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?

Rationale:

Key Points:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching about nutrition to a client at her first prenatal visit. Which of the following statements by the nurse should be included in the teaching?

Correct Answer is D

Explanation

A nurse is formulating a care plan for a patient who is 10 weeks pregnant and reports abdominal pain and moderate vaginal bleeding.The preliminary diagnosis is an inevitable abortion.Which nursing interventions should be included in the care plan?

Correct Answer is A

Explanation

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A nurse in a prenatal clinic is conducting a skin assessment of a patient in her second trimester.Which findings should the nurse anticipate? (Select all that apply.)

A nurse is teaching about fetal development to a group of clients in the antenatal clinic. Which of the following statements should the nurse include in the teaching?

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?