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A pregnant client's first day of her last menstrual period was April 10th. Using Naegele's rule, what is the estimated date of delivery?

July 17th

January 17th

January 24th

April 17th

Answer and Explanation

The Correct Answer is B

A. July 17th – Incorrect; does not follow Naegele’s rule.

B. January 17th – Correct; EDD calculated correctly.

C. January 24th – Incorrect; incorrect date adjustment.

D. April 17th – Incorrect; does not follow Naegele’s rule.

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Correct Answer is D

Explanation

A. "You will need to discuss this with the provider." – Incorrect; the nurse plays a key role in assessing and incorporating cultural practices into care.
B. "There are specific pain management options that you need to use." – Incorrect; this does not consider the client’s preferences and cultural beliefs.
C. "It is better to use pain management options that have been researched." – Incorrect; while evidence-based practices are important, cultural preferences should be respected.
D. "We will work with you to incorporate the practices that are safe for you and your fetus." – Correct; this response is client-centered and respects cultural beliefs while ensuring safety.

A. "This monitor gives me information related to fetal heart rate fluctuations during your labor." B. "This monitor measures the intensity and frequency of your contractions so I can observe labor progress." C. "This monitor allows me to observe your labor progress. By observing the pattern, I can tell how strong your contractions are." D. "This monitor provides me with information related to the duration and frequency of your contractions."

Correct Answer is D

Explanation

A. "This monitor gives me information related to fetal heart rate fluctuations during your labor." – Incorrect; the TOCO does not monitor fetal heart rate; the fetal heart rate is detected using a Doppler or fetal scalp electrode.

B. "This monitor measures the intensity and frequency of your contractions so I can observe labor progress." – Incorrect; the TOCO can measure frequency and duration, but not intensity (which requires an intrauterine pressure catheter).

C. "This monitor allows me to observe your labor progress. By observing the pattern, I can tell how strong your contractions are." – Incorrect; TOCO does not measure contraction strength, only duration and frequency.

D. "This monitor provides me with information related to the duration and frequency of your contractions." – Correct; a TOCO detects and records contraction frequency and duration, but not intensity.

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A pregnant client's first day of her last menstrual period was April 10th. Using Naegele's rule, what is the estimated date of delivery?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A practical nurse is gathering data from the client on incorporating cultural practices into their pain management during labor. Which of the following statements by the nurse is most appropriate?

Correct Answer is D

Explanation

A nurse assisting in the care of a client, places the tocodynamometer (TOCO) transducer on a client's fundus and secures it in place. The client asks the nurse to explain the purpose of the monitoring device. Which of the following responses should the nurse make?

Correct Answer is D

Explanation

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