A nurse in a prenatal clinic is determining a client's estimated date of delivery using Naegele's rule.
The first day of her last menstrual period was April 4, 2023.
Which of the following dates should the nurse tell the client is her estimated date of delivery (EDD)?

Choice A rationale:

Abdominal pain with minimal red vaginal bleeding is more suggestive of abruptio placentae rather than placenta previa. Placenta previa is characterized by painless vaginal bleeding, and the absence of pain is a key distinguishing factor in its diagnosis. Therefore, this finding does not align with the typical presentation of placenta previa.

Choice B rationale:

Severe abdominal pain with increasing fundal height is not consistent with the typical presentation of placenta previa. Placenta previa is generally associated with painless vaginal bleeding, and fundal height measurements are not typically used to diagnose placenta previa. This finding suggests a different condition, such as abruptio placentae, which involves painful bleeding with a rising fundal height.

Choice D rationale:

Intermittent abdominal pain following the passage of bloody mucus is more characteristic of preterm labor or other conditions, not placenta previa. Placenta previa is primarily associated with painless, bright red vaginal bleeding without contractions or pain. Therefore, this finding does not align with the typical presentation of placenta previa.

Choice A rationale:

The statement, "I will eat every 6 hours throughout the day," is not the best approach for a client with hyperemesis gravidarum. Eating at regular intervals may not be well-tolerated in this condition, as frequent nausea and vomiting can make it challenging to keep food down.

Choice B rationale:

The statement, "I will drink water with my meals," is generally a good practice during pregnancy to stay hydrated. However, for a client with hyperemesis gravidarum, it may be advisable to separate fluid intake from meals to minimize the risk of triggering nausea.

Choice C rationale:

The statement, "I will limit my protein intake," is not a recommended approach, especially for a pregnant client. Protein is essential for fetal development, and limiting protein intake may not provide adequate nutrition for the growing fetus.

Choice D rationale:

The statement, "I will eat crackers before I get out of bed in the morning," is a good strategy for managing morning sickness, which is common in pregnancy. Eating plain crackers before getting out of bed can help alleviate nausea and stabilize blood sugar levels.