A nurse is collecting data from a client who has just had a positive pregnancy test. The first day of her last menstrual period was February 16. Using Naegele's rule, what should the nurse tell the client the estimated date of birth is? (Use the MMDD format.)

Answer and Explanation

The Correct Answer is ["1123"]

- To use Naegele's rule, add 7 days to the first day of the last menstrual period and subtract 3 months.

- In this case, adding 7 days to February 16 gives February 23, and subtracting 3 months gives November 23.

- Therefore, the estimated date of birth is 1123.

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Correct Answer is D

Explanation

A. A bulging anterior fontanel suggests increased intracranial pressure, not dehydration.
B. Decreased urine specific gravity can occur with hydration or dilute urine, and it is not specific to dehydration.
C. Bounding pulses may be present in various conditions but are not a direct sign of dehydration.
D. Decreased skin turgor is a classic sign of dehydration in both infants and adults. It indicates a deficit of body fluids.

A. Apply a warm pack to the puncture site prior to the procedure. B. Apply a mummy restraint to the newborn for the procedure. C. Apply antiseptic solution to the puncture site after the procedure. D. Elevate the extremity prior to the procedure.

Correct Answer is A

Explanation

A. Applying a warm pack to the puncture site before the procedure increases blood flow to the area, which makes the blood sample collection easier and reduces discomfort for the newborn.

B. A mummy restraint may not be necessary for a routine blood glucose test. The nurse can gently hold the newborn in place during the procedure without needing to fully restrain them.

C. Antiseptic solution is typically applied before the puncture to cleanse the area. After the procedure, gentle pressure and bandaging are more appropriate to stop bleeding.

D. Elevating the extremity is unnecessary for a newborn blood glucose test, as warming the area is more effective in promoting blood flow to the puncture site.

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A nurse is collecting data from a client who has just had a positive pregnancy test. The first day of her last menstrual period was February 16. Using Naegele's rule, what should the nurse tell the client the estimated date of birth is? (Use the MMDD format.)

Nursing Test Bank

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Explanation

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Correct Answer is A

Explanation

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