A pregnant client tells the nurse that her LMP was 3 months ago and began on October 20. Using Naegele's rule, calculate the client's estimated date of delivery.
Answer format E.g. "October 20"
The Correct Answer is ["July 27"]
Step 1 is: October 20 + 7 days = October 27
Step 2 is: October 27 - 3 months = July 27
Step 3 is: July 27 + 1 year = July 27 next year
Final calculated answer: July 27.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
During pregnancy, there is an increase in fibrinogen and a decrease in fibrinolysis. These changes increase the risk of thromboembolic events, as they promote clot formation.
Choice B rationale
Increased blood volume and cardiac output are normal in pregnancy but do not directly increase the risk of thromboembolic events. They are adaptations to meet the increased metabolic demands.
Choice C rationale
Decreased hematocrit and increased RBC levels are typical in pregnancy but are related to the physiological dilution of blood, not thromboembolic risks.
Choice D rationale
Decreased blood pressure and hemoglobin are common in pregnancy due to increased blood volume but are not associated with increased thromboembolic risks. .
Correct Answer is B
Explanation
Choice A rationale
At 16 weeks, the fundal height is typically below the umbilicus. This location is more indicative of a fetus at around 20 weeks.
Choice B rationale
At 20 weeks, the fundal height is usually at the level of the umbilicus, indicating this is the correct gestational age.
Choice C rationale
At 24 weeks, the fundal height is usually above the umbilicus, suggesting a more advanced gestation than the picture indicates.
Choice D rationale
At 28 weeks, the fundal height is significantly above the umbilicus, making this option incorrect for the given scenario.
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