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:
Explaining how SIDS could have been predicted and prevented might not be appropriate immediately after the loss, as it can come across as insensitive. The focus should be on providing emotional support to the grieving family.
Choice B rationale:
While it's essential to gather information about the circumstances surrounding the infant's death, conducting an in-depth interview immediately might be overwhelming for the parents. Sensitivity and timing are crucial in approaching this aspect of the situation.
Choice C rationale:
Discouraging parents from making a last visit with the infant is highly inappropriate and insensitive. Parents should be allowed to have their final moments with their children and say their goodbyes in a way that brings them comfort and closure.
Choice D rationale:
Making a follow-up home visit to parents as soon as possible after the infant's death is a crucial nursing responsibility. This visit provides an opportunity to offer emotional support, answer any questions the parents might have, and connect them with appropriate resources for coping with their loss. It demonstrates the nurse's ongoing commitment to the family's well-being during this challenging time.

The correct answer is choiceb. Fetal movement palpated by the nurse-midwife.

Choice A rationale:

A positive pregnancy test is considered a probable sign of pregnancy, not a positive sign. Probable signs are those that strongly suggest pregnancy but are not definitive.

Choice B rationale:

Fetal movement palpated by the nurse-midwife is a positive sign of pregnancy. Positive signs are those that provide definitive evidence of pregnancy, such as fetal heart tones heard by a Doppler device or ultrasound visualization of the fetus.

Choice C rationale:

Braxton Hicks contractions are considered a probable sign of pregnancy. These are irregular, painless contractions that can occur throughout pregnancy but do not confirm pregnancy definitively.

Choice D rationale:

Quickening, or the first feeling of fetal movement by the mother, is a presumptive sign of pregnancy. Presumptive signs are those that the woman experiences and reports, which may suggest pregnancy but are not conclusive.