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?

Choice A rationale:

Using maternity jargon might confuse the patient, especially if she has limited English proficiency. It is important to use simple and clear language to ensure the patient understands the information. Using jargon would not be effective in this situation.

Choice B rationale:

Speaking quickly and efficiently may further complicate communication, especially considering the patient's limited English proficiency. It is crucial to speak slowly, clearly, and allow time for the patient to process and respond. Rushing the conversation may hinder effective communication.

Choice C rationale:

Providing handouts can be helpful, but it should not be the sole method of communication, especially when dealing with a patient who has limited English proficiency. Handouts may not be available in the patient's language or may not address her specific concerns. Assessing direct understanding through conversation is essential.

Choice D rationale:

Assessing whether the patient understands the discussion is the most crucial step. This can be done through various methods, such as asking open-ended questions, using interpreters if necessary, and encouraging the patient to ask questions. Ensuring the patient comprehends the information provided is vital for her overall care and adherence to medical advice.

Choice A rationale:

Pouring water from a squeeze bottle over the woman's perineum is a common technique used to ease perineal discomfort after childbirth, but it does not address the issue of a full bladder preventing the uterus from contracting normally.

Choice B rationale:

Placing oil of peppermint in a bedpan under the woman is a technique used to encourage relaxation and help the woman empty her bladder spontaneously. The smell of peppermint can stimulate the relaxation of pelvic muscles, making it easier for the woman to urinate. This method is often effective in encouraging postpartum women to empty their bladders, which is important for uterine contraction and preventing postpartum hemorrhage.

Choice C rationale:

Asking the physician to prescribe analgesics may help manage pain but does not directly address the issue of a full bladder preventing normal uterine contractions.

Choice D rationale:

Inserting a sterile catheter is a medical intervention that might be necessary if the woman cannot empty her bladder spontaneously. However, it is typically considered after other non-invasive methods, such as the use of peppermint oil, have been attempted and failed. Inserting a catheter should be done with caution to avoid introducing infection and discomfort to the woman.