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 A

Explanation

A. Transient tachypnea of the newborn (TTN) is a common condition in full-term infants, particularly those born via C-section, and is characterized by rapid breathing (tachypnea), nasal flaring, and mild respiratory distress within the first few hours after birth. The condition typically resolves within 48-72 hours.

B. Respiratory distress syndrome (RDS) usually occurs in premature infants, and the symptoms described do not match this condition.

C. Meconium aspiration syndrome is usually associated with meconium-stained amniotic fluid and typically presents with more severe respiratory distress and other signs of obstruction.

D. A tracheoesophageal fistula would present with more severe respiratory symptoms, such as choking and coughing, and is not typically characterized by tachypnea alone.

A. “I will get my A1C checked every visit." B. "A fasting glucose done in the first trimester of pregnancy will show if I have gestational diabetes.” C. “All women are tested in the second trimester with a three hour glucose tolerance test to determine if they have gestational diabetes." D. “I will have a one hour glucose test (glucose tolerance test) to screen for gestational diabetes during the second trimester.”

Correct Answer is D

Explanation

A. The A1C is not used for diagnosing gestational diabetes; it measures long-term blood glucose levels.

B. A fasting glucose test in the first trimester is not typically used for diagnosing gestational diabetes.

C. The three-hour glucose tolerance test is used for diagnosing gestational diabetes but not as a routine screening for all women.

D. The standard screening test for gestational diabetes is the one-hour glucose challenge test, typically performed between 24 and 28 weeks of gestation.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A patient is being taught about tests for gestational diabetes. Teaching was effective when the patient states the following

Correct Answer is D

Explanation

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