The nurse is calculating the estimated date of confinement (EDC) using Nagele's rule for a client whose last menstrual period started on December 1. Which date is most accurate?
September 8.
August 1.
August 10.
September 3.
The Correct Answer is A
To calculate the estimated date of confinement (EDC) using Nagele's rule, follow these steps:
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Take the first day of the last menstrual period (LMP).
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Add 7 days to that date.
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Count back 3 months.
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Add 1 year to the resulting date, and that will be the EDC.
In this case, the client's LMP started on December 1.
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December 1
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December 8 (adding 7 days)
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September 8 (counting back 3 months)
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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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
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.
Correct Answer is A
Explanation
Choice A rationale:
The correct answer. Apnea in premature infants, characterized by pauses in breathing lasting 5 to 10 seconds, is often due to immature central respiratory centers in the brain. These episodes are termed sleep or wakeful apnea and are a common phenomenon in premature infants. The compensatory rapid respiration that follows is the body's attempt to restore oxygen levels.
Choice B rationale:
There is no indication in the scenario that the infant is experiencing severe swings in blood pressure, which would be a concerning condition that would need medical attention.
Choice C rationale:
Premature infants require a neutral thermal environment, but this condition does not cause the specific respiratory pattern described in the question.
Choice D rationale:
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