A woman arrives at the clinic for a pregnancy test.

Her last menstrual period (LMP) was February 14, 2019.

What is the client’s expected date of birth (EDB)?

September 17, 2019.

November 21, 2019.

December 17, 2019.

November 7, 2019.

Answer and Explanation

The Correct Answer is C

Choice A rationale
Calculating from the LMP of February 14, 2019, the estimated date of birth using Naegele's rule would not fall in September.
Choice B rationale
Naegele's rule calculates EDB by adding 7 days to the LMP and then subtracting 3 months. This does not lead to a November date.
Choice C rationale
Using Naegele's rule, adding 7 days to February 14 results in February 21, 2019, then subtracting 3 months, results in November 2019.
Choice D rationale
While close, November 7 is not accurate. Naegele's rule would adjust from February 14, giving an EDB in mid to late November.

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Correct Answer is A

Explanation

Choice A rationale
Inadequate weight gain during pregnancy can lead to intrauterine growth restriction (IUGR), where the fetus does not grow as expected.
Choice B rationale
Excess weight gain is not solely due to overeating; it can result from edema, gestational diabetes, or other metabolic factors.
Choice C rationale
Height is a factor in determining a pregnant woman’s target weight range, influencing the overall recommended weight gain.
Choice D rationale
Obese women have higher risks of complications, including gestational diabetes and hypertensive disorders, differing from normal weight women.

A. Powers. B. Passenger. C. Pressure. D. Passageway.

Correct Answer is C

Explanation

Choice A rationale
Uterine contractions (powers) are essential for cervical dilation and fetal descent. They are involuntary smooth muscle contractions regulated by oxytocin and prostaglandins.
Choice B rationale
The fetus (passenger) significantly influences labor progression. Fetal size, position, and presentation affect the ease of passage through the birth canal.
Choice C rationale
Pressure is not considered one of the five Ps affecting labor and birth. The five Ps are powers, passenger, passageway, position, and psychological response.
Choice D rationale
The birth canal (passageway) includes the bony pelvis and soft tissues, which must adapt to allow the fetus to pass through during labor.

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A woman arrives at the clinic for a pregnancy test. Her last menstrual period (LMP) was February 14, 2019. What is the client’s expected date of birth (EDB)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

With regard to weight gain during pregnancy, the nurse should be aware of which important information?

Correct Answer is A

Explanation

The factors that affect the process of labor and birth, known commonly as the five Ps, include all except:

Correct Answer is C

Explanation

The nurse is aware that labor and birth will most likely proceed normally when the fetal position is:

The fetal monitor tracing shown is associated with:

The client has been having contractions every 5 minutes for 7 hours. Which factor would the nurse use to determine if this is true labor?

The fetal monitor tracing shown is associated with:

A woman is in the second stage of labor with a strong urge to push. Which of the following actions by the nurse is appropriate at this time?

The nurse caring for a client in labor observes the external fetal monitor tracing showing that there are accelerations with moderate variability. Which of the following actions is most appropriate?

The slight overlapping of cranial bones or shaping of the fetal head during labor is called:

As relates to the structure and function of the placenta, the nurse should be aware that.

A woman arrives at the clinic for a pregnancy test.

Her last menstrual period (LMP) was February 14, 2019.

What is the client’s expected date of birth (EDB)?