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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 ["A","B","C"]

Explanation

A. Chromosome defects: Amniocentesis can detect chromosomal abnormalities, such as Down syndrome (trisomy 21).

B. Fetal gender: Amniocentesis can identify the gender of the fetus by analyzing the fetal cells obtained from the amniotic fluid.

C. Neural tube defects: Amniocentesis can detect neural tube defects such as spina bifida by measuring the levels of alpha-fetoprotein (AFP) in the amniotic fluid.

D. Cephalopelvic disproportion: Cephalopelvic disproportion (CPD) is a mechanical issue that occurs during labor, where the fetal head is too large to fit through the mother's pelvis. It cannot be diagnosed with an amniocentesis.

E. Rh incompatibility: Rh incompatibility is diagnosed through blood tests, not amniocentesis. However, amniocentesis can be used in cases of severe Rh incompatibility to assess the fetus’s condition.

A. Eat foods fortified with folic acid. B. Increase intake of iron. C. Avoid the use of aspirin. D. Avoid consumption of alcohol.

Correct Answer is A

Explanation

A. Eat foods fortified with folic acid. Folic acid is crucial in the prevention of neural tube defects. Women are advised to consume foods fortified with folic acid (e.g., leafy greens, fortified cereals) and take folic acid supplements.

B. Increase intake of iron. Iron is important for preventing anemia during pregnancy but does not directly affect the risk of neural tube defects.

C. Avoid the use of aspirin. Aspirin use during pregnancy is not linked to neural tube defects. While high doses of aspirin may pose other risks, it is not a factor in preventing neural tube defects.

D. Avoid consumption of alcohol. While avoiding alcohol is important to prevent fetal alcohol syndrome, it does not directly reduce the risk of neural tube defects. Folic acid is the primary preventive measure for neural tube defects.

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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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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is at 15 weeks of gestation and is about to undergo an amniocentesis. The nurse should reinforce that this test can identify which of the following traits or problems? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

A nurse is reinforcing teaching with a client about how to reduce the risk of giving birth to a newborn who has a neural tube defect. Which of the following instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

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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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