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.
The Correct Answer is B
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
Using Naegele's rule, adding 7 days to February 14 results in February 21, 2019, then subtracting 3 months, results in November 2019.
Choice C 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 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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
The cervix is measured in dilation, not effacement, in centimeters. Effacement is expressed in percentage, indicating the thinning of the cervix.
Choice B rationale
The cervix is 3 cm dilated, 30% effaced, and the presenting part is 2 cm above the ischial spines. This assessment provides a clear status of labor progress.
Choice C rationale
The presenting part being below the ischial spines would be recorded with a positive station, indicating descent into the pelvis, unlike this assessment.
Choice D rationale
The cervix is assessed for dilation in centimeters and effacement in percentage, with station indicating the relationship to the ischial spines.
Correct Answer is C
Explanation
Choice A rationale
Testosterone is primarily a male hormone and does not play a role in pregnancy detection. Its presence would not indicate pregnancy or contribute to a positive pregnancy test result.
Choice B rationale
Progesterone supports pregnancy by maintaining the uterine lining but is not the hormone detected by pregnancy tests. Its levels do rise in pregnancy, but it is not used as a marker for detection.
Choice C rationale
Human Chorionic Gonadotropin (HCG) is produced by the placenta shortly after fertilization. Its presence in urine or blood is the basis for positive pregnancy test results. Normal HCG levels rise rapidly in early pregnancy.
Choice D rationale
Estrogen levels increase during pregnancy, but like progesterone, it is not used for pregnancy detection. Estrogen supports various pregnancy-related functions but is not detected in pregnancy tests.
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