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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 B

Explanation

A. 6 cm dilated and 80% effaced – Incorrect; this is more consistent with active labor, but the symptoms suggest transition phase.
B. 8 cm dilated and 100% effaced – Correct; the transition phase (8-10 cm dilation) is characterized by intense contractions, nausea, and the sensation of rectal pressure.
C. 5 cm dilated and 70% effaced – Incorrect; this is too early for the transition phase symptoms.
D. Unmeasurable – Incorrect; cervical dilation and effacement can always be measured during labor unless obstructed by fetal descent.

A. Elevated client blood pressure during contractions B. Decrease in client blood volume C. Increased client cardiac output D. Client bradypnea

Correct Answer is C

Explanation

A. Elevated client blood pressure during contractions – Incorrect; high BP can reduce uteroplacental circulation, affecting fetal oxygenation.

B. Decrease in client blood volume – Incorrect; a drop in blood volume would compromise oxygen delivery.

C. Increased client cardiac output – Correct; cardiac output increases during labor to enhance blood flow to the placenta, improving fetal oxygenation.

D. Client bradypnea – Incorrect; slow breathing (bradypnea) can lead to hypoxia, reducing fetal oxygen supply.

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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

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Correct Answer is B

Explanation

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Correct Answer is C

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