A nurse at a clinic is counseling a client who has a positive pregnancy test. The first day of the client's last menstrual period was November 9. Use Nägele's rule to calculate the estimated date of delivery.

(Use the MMDD format with four numerals and no spaces or punctuation.)

Answer and Explanation

The Correct Answer is ["0816"]

To calculate the estimated date of delivery using Nägele's rule, follow these steps:

-Add 7 days to the first day of the last menstrual period. In this case, November 9 + 7 days = November 16.

- Subtract 3 months from the month of the last menstrual period. In this case, November - 3 months = August.

The estimated date of delivery is August 16

The rationale for this rule assumes that the average menstrual cycle is 28 days long and that ovulation occurs on day 14 of the cycle. Therefore, adding 7 days to the first day of the last menstrual period approximates the date of conception. Subtracting 3 months from the month of the last menstrual period adjusts for the difference between the lunar calendar (13 months) and the Gregorian calendar (12 months).

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Correct Answer is C

Explanation

Choice A rationale:

Asterixis is a hand-flapping tremor that can be associated with hepatic encephalopathy, not pancreatic cancer.

Choice B rationale:

Weight gain is not typically associated with pancreatic cancer and may not be a relevant manifestation to include.

Choice C rationale:

Abdominal pain is a common manifestation of pancreatic cancer and should be included in the teaching.

Choice D rationale:

Constipation is not typically associated with pancreatic cancer and may not be a relevant manifestation to include.

A. Positive Rheumatoid factor B. WBC count 2.000/mm3 C. Hemoglobin 14.8 g/dL D. Erythrocyte sedimentation rate 24 mm/hr

Correct Answer is B

Explanation

Choice A rationale:

A positive Rheumatoid factor is associated with rheumatoid arthritis and is not an adverse effect of methotrexate.

Choice B rationale:

A low WBC count (leukopenia) is an adverse effect of methotrexate and can increase the risk of infection.

Choice C rationale:

A hemoglobin level of 14.8 g/dL is within a normal range and is not an adverse effect of methotrexate.

Choice D rationale:

An erythrocyte sedimentation rate (ESR) of 24 mm/hr is within a normal range and is not an adverse effect of methotrexate.

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A nurse at a clinic is counseling a client who has a positive pregnancy test. The first day of the client's last menstrual period was November 9. Use Nägele's rule to calculate the estimated date of delivery. (Use the MMDD format with four numerals and no spaces or punctuation.)

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A nurse is teaching a client who has a family history of pancreatic cancer about manifestations associated with the disease. Which of the following findings should the nurse include?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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A nurse at a clinic is counseling a client who has a positive pregnancy test. The first day of the client's last menstrual period was November 9. Use Nägele's rule to calculate the estimated date of delivery.

(Use the MMDD format with four numerals and no spaces or punctuation.)