What is the estimated date of birth (EDB) for a client who is pregnant and whose last menstrual period began on July 27? (State the date in MMDD.
For example, July 27 is 0727)

0427

0503

0603

0527

Answer and Explanation

The Correct Answer is B

To calculate the estimated date of birth (EDB) using the first day of the last menstrual period (LMP), you can use Naegele’s Rule. This rule adds 280 days (or 40 weeks) to the first day of the LMP.

Given the LMP of July 27 (0727):

Add 1 year: July 27, 2023 becomes July 27, 2024.
Add 7 days: July 27, 2024 becomes August 3, 2024.
Subtract 3 months: August 3, 2024 becomes May 3, 2024.

So, the estimated date of birth (EDB) is May 3, 2024 (0503).

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Correct Answer is D

Explanation

The correct answer is D. A client who experienced a cesarean birth 4 hr ago and reports pain. Pain after a cesarean birth could indicate complications such as infection or hemorrhage and should be addressed immediately.

A. Intermittent abdominal pain following passage of bloody mucus. B. Increasing abdominal pain with a non-relaxed uterus. C. Abdominal pain with scant red vaginal bleeding. D. Painless red vaginal bleeding.

Correct Answer is D

Explanation

Choice A rationale

Intermittent abdominal pain following passage of bloody mucus is more commonly associated with labor or conditions like bloody show but not specifically indicative of placenta previa.

Choice B rationale

Increasing abdominal pain with a non-relaxed uterus could be a sign of conditions such as uterine rupture or contractions, but it is not a typical sign of placenta previa. In placenta previa, the uterus is typically soft and non-tender.

Choice C rationale

Abdominal pain with scant red vaginal bleeding could be indicative of several conditions, including early labor or placental abruption, but it is not a typical sign of placenta previa. Placenta previa is usually characterized by painless bleeding.

Choice D rationale

Painless red vaginal bleeding is a classic sign of placenta previa. This occurs because the placenta, which is implanted low in the uterus, near or over the cervical os, begins to separate as the cervix effaces and dilates, leading to bleeding.

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What is the estimated date of birth (EDB) for a client who is pregnant and whose last menstrual period began on July 27? (State the date in MMDD. For example, July 27 is 0727)

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Choice A rationale

Choice B rationale

Choice C rationale

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What is the estimated date of birth (EDB) for a client who is pregnant and whose last menstrual period began on July 27? (State the date in MMDD.
For example, July 27 is 0727)