A nurse is collecting data from a client at their first prenatal appointment. The client reports that the first day of their last menstrual period was September 17. Which of the following accurately represents the client's estimated date of delivery using Naegele's Rule?

June 24

June 14

June 10

June 20

Answer and Explanation

The Correct Answer is A

A.   EDD = LMP + 1 year - 3 months + 7 days. LMP: September 17. Subtract 3 months: June 17. Add 7 days: June 24
B.   EDD = LMP + 1 year - 3 months + 7 days. LMP: September 17. Subtract 3 months: June 17. Add 7 days: June 24
C.   EDD = LMP + 1 year - 3 months + 7 days. LMP: September 17. Subtract 3 months: June 17. Add 7 days: June 24
D.   EDD = LMP + 1 year - 3 months + 7 days. LMP: September 17. Subtract 3 months: June 17. Add 7 days: June 24

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Correct Answer is B

Explanation

A. Notify social services. – Incorrect; while reporting may be necessary, the nurse must first gather more information.

B. Ask the parents what caused the bruises. – Correct; the nurse should first assess by asking the parents in a nonjudgmental manner to determine if the bruises are accidental or suspicious for abuse.

C. Ask the toddler what caused the bruises. – Incorrect; toddlers may have limited verbal skills, and their responses may not be reliable.

D. Notify the provider. – Incorrect; while the provider should be informed, the nurse must first assess before escalating concerns.

A. Have you noticed any bloody show or mucus plug discharge? B. Do you have a fever or chills? C. Are your contractions continuing despite changes in activity or position? D. Is the baby moving less than usual? E. Are your contractions becoming more frequent and intense?

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

Explanation

A. Have you noticed any bloody show or mucus plug discharge? – Correct; bloody show is a sign of cervical dilation, indicating true labor.

B. Do you have a fever or chills? – Incorrect; fever and chills suggest infection, not labor progression.

C. Are your contractions continuing despite changes in activity or position? – Correct; contractions in true labor persist even with activity changes.

D. Is the baby moving less than usual? – Incorrect; fetal movement changes require assessment, but they do not confirm true labor.

E. Are your contractions becoming more frequent and intense? – Correct; contractions in true labor become stronger, longer, and closer together.

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A nurse is collecting data from a client at their first prenatal appointment. The client reports that the first day of their last menstrual period was September 17. Which of the following accurately represents the client's estimated date of delivery using Naegele's Rule?

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Naxlex Comprehensive Predictor Exams

A nurse is bathing a toddler and notices the child has several bruises. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

A woman calls the labor and delivery unit stating she is in labor. What questions would you ask her to determine if she is in true labor? (Select all that apply.)

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

Explanation

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