The nurse is counseling a woman who wants to become pregnant. The woman tells the nurse that she has a 28-day menstrual cycle and the first day of her menstrual period was January 8. The nurse correctly calculates that the woman's next fertile period is?

February 6-7

January 22-23

January 30-31

January 14-15

Answer and Explanation

The Correct Answer is B

Choice A: February 6-7 is incorrect. This is too late for the woman's fertile period, which occurs around the time of ovulation. Ovulation usually happens about 14 days before the next period starts, which would be around January 22 for a 28-day cycle¹.

Choice B: In a 28-day menstrual cycle, ovulation typically occurs around day 14 (counting from the first day of the last menstrual period). Since the first day of the last period is January 8, day 14 falls on January 22. The fertile window consists of the five days leading up to ovulation and the day of ovulation (January 17–22), as sperm can survive in the reproductive tract for up to 5 days, and the egg remains viable for about 24 hours after ovulation. January 22-23 is the most fertile period, with ovulation occurring around January 22 and the egg remaining viable for fertilization on January 23.

Choice C: January 30-31 is incorrect. This is after the woman's fertile period, which ends about a day after ovulation. Ovulation usually happens about 14 days before the next period starts, which would be around January 22 for a 28-day cycle.

Choice D: January 14-15 corresponds to cycle days 7-8, which is too early for ovulation in a typical 28-day cycle. Ovulation generally occurs around day 14 (January 22). The follicular phase (the first half of the cycle) is when the follicles in the ovary mature, and estrogen levels rise to trigger ovulation. At this point (January 14-15), the egg is not yet released, and the uterus is still preparing for ovulation, making conception unlikely.

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Correct Answer is B

Explanation

Choice A reason: An antiemetic such as pyridoxine may be used to control vomiting in women with hyperemesis gravidarum, but it is not the initial treatment. The first priority is to restore fluid and electrolyte balance and prevent dehydration and hypovolemia.

Choice B reason: IV therapy is the initial treatment for women with hyperemesis gravidarum. It helps to correct fluid and electrolyte imbalances, prevent dehydration and hypovolemia, and restore normal blood pressure and urine output. IV fluids may also contain glucose, vitamins, and electrolytes to replenish losses.

Choice C reason: Enteral nutrition may be used to meet nutritional needs in women with hyperemesis gravidarum, but it is not the initial treatment. Enteral nutrition involves feeding through a tube inserted into the stomach or intestine. It may be considered if oral intake is not tolerated or adequate after IV therapy.

Choice D reason: Corticosteroids are not used to treat hyperemesis gravidarum. They are used to reduce inflammation in conditions such as asthma, rheumatoid arthritis, and allergic reactions. They have no effect on nausea and vomiting in pregnancy.

A. November 20 B. November 27 C. November 21 D. November 14

Correct Answer is A

Explanation

Choice A reason:

Nagele's rule for calculating the estimated date of confinement (EDC) involves subtracting 3 months from the first day of the last menstrual period and adding 7 days. For February 13th, subtracting 3 months gives us November 13th, and adding 7 days gives us November 20th. This is the most accurate calculation for the estimated date of confinement.

Choice B reason:

This choice is not accurate according to Nagele's rule. Adding 7 days to November 13th would give November 20th, not November 27th.

Choice reason:

This choice is not accurate according to Nagele's rule. Adding 7 days to November 13th would give November 20th, not November 21st.

Choice D reason:

This choice is not accurate according to Nagele's rule. Subtracting 3 months from February 13th would give November 13th, not November 14th.

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The nurse is counseling a woman who wants to become pregnant. The woman tells the nurse that she has a 28-day menstrual cycle and the first day of her menstrual period was January 8. The nurse correctly calculates that the woman's next fertile period is?

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Naxlex Comprehensive Predictor Exams

The nurse caring for a woman hospitalized for hyperemesis gravidarum should expect that initial treatment will involve:

Correct Answer is B

Explanation

The nurse is calculating the estimated date of confinement (EDC) using Nagele's rule for a client whose last menstrual period started on February 13th. Which date is most accurate?

Correct Answer is A

Explanation

When providing care to a young single woman just diagnosed with acute pelvic inflammatory disease, the nurse should:

A nurse teaches a pregnant woman about the presumptive, probable, and positive signs of pregnancy. The woman demonstrates an understanding of the nurse's instructions if she states that a positive sign of pregnancy is:

Signs and symptoms that a pregnant woman should report immediately to her health care provider include: (Select all that apply.)

A patient with pregnancy-induced hypertension is admitted complaining of pounding headache, visual changes, and epigastric pain. Nursing care is based on the knowledge that these signs are an indication of:

A primigravida is being monitored in her prenatal clinic for preeclampsia. What finding should concern her nurse?

What should a nurse know about the contraction stress test (CST) when providing care for the antepartum woman?

A pregnant woman experiencing nausea and vomiting should: