The nurse working in the prenatal clinic has a patient who states her last menstrual period was April 15th. Using Nagelle's rule, what is her due date?

May 1

July 8

January 22

January 23

Answer and Explanation

The Correct Answer is C

A. May 1 is not correct; this would be too early by several months.

B. July 8 is not correct; this date is too far out for the due date based on the LMP provided.

C. To calculate the due date using Naegele's rule, you add 7 days to the first day of the last menstrual period (LMP) and then subtract 3 months. Given: LMP: April 15th Step 1: Add 7 days to the LMP: April 15th + 7 days= April 22nd Step 2: Subtract 3 months: April 22nd – 3 months = January 22nd

D. January 22 is close but not the correct date by the standard calculation of 280 days.

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Correct Answer is D

Explanation

A. Keeping state records updated is a procedural part of newborn screening, but it is not the primary reason for the test.

B. ABO incompatibilities are a separate issue and are not the focus of newborn screening tests like PKU.

C. Hypoglycemia is not detected by the newborn screening tests, which focus on metabolic and genetic disorders, not immediate blood glucose levels.

D. The primary goal of newborn screening is to detect various genetic or metabolic disorders early. Early identification allows for timely treatment that can prevent serious health complications, including developmental delays or death.

A. Abdominal girth q 2 hours. B. Assess amount of bleeding C. Pelvic exam for cervical dilation. D. Fetal heart rate patterns E. Maternal vital signs F. Attach internal fetal scalp electrode.

Correct Answer is ["B","D","E"]

Explanation

A. Abdominal girth is not a primary concern for this patient. Monitoring for signs of abdominal distention and changes in the uterus is more relevant for conditions like preeclampsia or uterine rupture.

B. Assessing the amount of bleeding is essential as vaginal bleeding can indicate serious complications like placental abruption or previa.

C. A pelvic exam is not indicated without signs of cervical change or labor. The priority is to assess for active bleeding and fetal well-being.

D. Fetal heart rate patterns are crucial to assess the status of the fetus, particularly with the concern of placental issues.

E. Maternal vital signs are important to monitor to detect signs of shock or bleeding complications that may not be immediately obvious.

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The nurse working in the prenatal clinic has a patient who states her last menstrual period was April 15th. Using Nagelle's rule, what is her due date?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When teaching parents about mandatory newborn screening, which of the following is the most important rationale for why the newborn screening test is given (often called PKU because this was the test mandated)?

Correct Answer is D

Explanation

Temp 98.6 (0) Sp02 98% on RA Exhibits What three priority assessments will you make for this patient?

Correct Answer is ["B","D","E"]

Explanation

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