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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 A

Explanation

A. Body weight – Correct; the best indicator of fluid loss in infants is a change in weight because infants have higher water content and small changes can significantly impact hydration status.

B. Blood pressure – Incorrect; infants can maintain blood pressure until dehydration becomes severe.

C. Respiratory rate – Incorrect; respiratory rate may increase with dehydration but is not the most reliable indicator.

D. Skin integrity – Incorrect; poor skin turgor is a sign of dehydration, but weight loss is more objective and accurate.

A. Ask the client to empty their bladder B. Perform fundal massage C. Nothing, this is an expected finding D. Ambulate the client in the hallway E. Give pain medications

Correct Answer is ["A","B"]

Explanation

A. Ask the client to empty their bladder – Correct; a full bladder can displace the uterus and prevent it from contracting effectively.
B. Perform fundal massage – Correct; fundal massage helps stimulate uterine contractions and reduce postpartum bleeding.
C. Nothing, this is an expected finding – Incorrect; a boggy uterus is not expected and requires intervention to prevent hemorrhage.
D. Ambulate the client in the hallway – Incorrect; while ambulation is beneficial postpartum, it is not the immediate intervention for a non-firm uterus.
E. Give pain medications – Incorrect; pain medications do not directly address uterine atony or bleeding.

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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 nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss?

Correct Answer is A

Explanation

A nurse is assisting in the care of a client who is 4 hr postpartum. Which of the following interventions should the nurse perform after finding that the client's uterus is not firm? (Select all that apply.)

Correct Answer is ["A","B"]

Explanation

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