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)?

A nurse is reinforcing nutritional teaching with a client who is at 8 weeks of gestation. Which of the following statements should the nurse include? The correct answer is choice B: "You should increase your folic acid intake during your pregnancy.”.

Choice A rationale:

"You should stop taking your prenatal vitamin if you experience nausea.”. This statement is incorrect. Nausea is a common symptom during pregnancy, especially during the first trimester. However, discontinuing prenatal vitamins is not recommended. It's essential to continue taking them to ensure the mother and baby receive adequate nutrients. Prenatal vitamins are designed to provide essential vitamins and minerals that are crucial for the baby's development. Discontinuing them due to nausea could lead to nutrient deficiencies.

Choice C rationale:

"You should limit your iron intake during your first trimester.”. This statement is incorrect. Iron intake should not be limited during the first trimester. Iron is an essential mineral during pregnancy, as the mother's blood volume increases, and iron is required to make more red blood cells to carry oxygen to the baby. Iron deficiency can lead to anemia, which can be harmful to both the mother and the baby. Therefore, iron intake is typically increased during pregnancy to meet the increased demand.

Choice D rationale:

"You should increase your daily calorie intake by 750 calories.”. This statement is not entirely accurate. While it's true that calorie needs increase during pregnancy, the recommended additional calorie intake is generally around 300-500 calories per day, not 750. The exact number can vary from person to person, depending on their pre-pregnancy weight and activity level. Consuming too many extra calories can lead to excessive weight gain, which can have negative consequences for both the mother and the baby. It's important to focus on the quality of calories consumed and ensure they come from nutrient-dense foods.

Choice A rationale:

Heartburn is a common discomfort during pregnancy, but it is not typically associated with the first trimester. Therefore, it is not a relevant manifestation to include in the teaching for a client in the first trimester.

Choice B rationale:

Constipation is a common discomfort in pregnancy, particularly during the first trimester. However, the question specifically asks about first-trimester manifestations, so this choice is not the most appropriate to include in the teaching.

Choice C rationale:

Urinary urgency is a common discomfort during the first trimester of pregnancy due to hormonal changes and the growing uterus pressing on the bladder. This is a relevant manifestation to include in the teaching for a client in the first trimester.

Choice D rationale:

Supine hypotension, also known as aortocaval compression syndrome, is a phenomenon that occurs when a pregnant woman lies flat on her back, compressing the vena cava and reducing blood flow to the heart. It is not typically associated with the first trimester, and it is more commonly a concern in the later stages of pregnancy. Therefore, it is not a relevant manifestation to include in first-trimester teaching.