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A nurse in a prenatal clinic is determining a client’s estimated date of delivery using Naegels rule. The first day of her last menstrual period was May 4. Which of the following dates should the nurse tell the client is her estimated date of delivery?

February 11

April 27

February 27

April 11

Answer and Explanation

The Correct Answer is A

A. February 11:

The first day of the client’s last menstrual period is May 4.

Subtract 3 months: May → April → March → February.
Add 7 days: 4 + 7 = 11.
The EDD is February 11.

B. April 27: This date is beyond 40 weeks of pregnancy. Using Naegele's rule correctly should result in a February due date, not an April date.

C. February 27: While February is the correct month, this date does not align with Naegele’s Rule because the addition of 7 days to May 4 results in February 11, not February 27.

D. April 11: April 11 places the due date in the wrong month. This choice may result from adding 7 days without adjusting the months correctly when subtracting 3 months.

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Correct Answer is D

Explanation

A. 1 hr after vaginal intercourse: Basal body temperature (BBT) should be measured at the same time each morning before any physical activity or intercourse to accurately track ovulation.

B. Immediately after getting into bed at night: BBT must be taken first thing in the morning before rising or any movement, not at night.

C. Only on days 13 to 17 of her menstrual cycle: To track ovulation, BBT should be recorded every day throughout the cycle. Ovulation may not always occur within this window.

D. Every morning before arising: Basal body temperature should be measured every morning before getting out of bed, as any activity can alter the temperature and reduce accuracy in detecting ovulation.

A. Report the findings to the provider and prepare the client for induction of labor. B. Encourage the client to walk around and then resume monitoring. C. Apply vibroacoustic stimulation to the woman's abdomen. D. Turn the client onto her left side.

Correct Answer is C

Explanation

A. Report the findings to the provider and prepare the client for induction of labor. While the nonstress test may require further evaluation, there is no indication to prepare for induction based on a lack of movement for 15 minutes.

B. Encourage the client to walk around and then resume monitoring. The client should remain in a semi-Fowler’s or side-lying position during the nonstress test. Walking around is not part of this assessment.

C. Apply vibroacoustic stimulation to the woman's abdomen. Vibroacoustic stimulation is a method used during a nonstress test to elicit fetal movement and assess fetal well-being. This is the appropriate intervention for a lack of fetal movement.

D. Turn the client onto her left side. While turning onto the left side can improve uteroplacental blood flow, there is no indication in this case that uteroplacental insufficiency is a concern. The primary concern is lack of fetal movement, which can be addressed with vibroacoustic stimulation.

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A nurse in a prenatal clinic is determining a client’s estimated date of delivery using Naegels rule. The first day of her last menstrual period was May 4. Which of the following dates should the nurse tell the client is her estimated date of delivery?

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