A nurse is caring for a client who has a placenta previa.
Which of the following findings should the nurse expect?

Painless, vaginal bleeding.

Persistent headache.

Uterine hypertonicity.

Firm, rigid abdomen.

Answer and Explanation

The Correct Answer is A

This is the most common symptom of placenta previa and can occur after 20 weeks of gestation.

Choice B is incorrect because a persistent headache is not a known symptom of placenta previa.

Choice C is incorrect because uterine hypertonicity is not a known symptom of placenta previa.

Choice D is incorrect because a ﬁrm, rigid abdomen is not a known symptom of placenta previa.

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Correct Answer is ["1227"]

Explanation

Naegele’s rule is a method for estimating the due date of a baby based on the woman’s last menstrual period (LMP).

It involves adding seven days and subtracting three months from the ﬁrst day of the LMP.

It assumes a 28-day menstrual cycle and a 280-day gestation period, which may vary for diﬀerent women 1.

Using this rule, if the client’s last menstrual period was March 20, then adding seven days would give March 27.

Subtracting three months would give December 27 of the previous year.

Adding one year would give December 27 of the current year, which is the estimated date of delivery in MMDD format: 1227.

A. April 21st. B. May 5th. C. May 21st. D. April 4th.

Correct Answer is B

Explanation

Nägele’s Rule is a method for estimating the expected date of delivery (EDD) or conﬁnement (EDC).

It involves adding seven days and one year, and subtracting three months, from the ﬁrst day of the last menstrual period (LMP)1.

Using this rule, if the ﬁrst day of the client’s last menstrual period was July 28th, then adding seven days would be August 4th.

Subtracting three months would be May 4th.

Adding one year would be May 4th of the following year.

Therefore, the nurse should document May 5th as the client’s expected delivery date.

Choice A is incorrect because April 21st is too early according to Nägele’s Rule calculation.

Choice C is incorrect because May 21st is too late according to Nägele’s Rule calculation.

Choice D is incorrect because April 4th is too early according to Nägele’s Rule calculation.

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A nurse is caring for a client who has a placenta previa. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client during her first prenatal visit. The client reports March 20 as her last menstrual period. Use Naegele's rule to calculate the estimated date of delivery. (Use the MMDD format with four numerals and no spaces or punctuation: MMDD.)

Correct Answer is ["1227"]

Explanation

A nurse is using Nägele's Rule to calculate the expected delivery date of a client who reports that the first day of her last menstrual cycle was July 28th. Which of the following dates should the nurse document as the client's expected delivery date?

Correct Answer is B

Explanation

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A nurse is caring for a client who has a placenta previa.
Which of the following findings should the nurse expect?