A nurse in a prenatal clinic is caring for a client who asks what her estimated date of delivery will be if her last menstrual period began on November 15th.Which of the following is the appropriate response by the nurse?
July 12.
August 12.
August 22.
July 22.
The Correct Answer is D
Choice A rationale
Calculating the estimated date of delivery (EDD) involves adding 280 days (40 weeks) to the first day of the last menstrual period (LMP). Starting from November 15th, adding 280 days results in an EDD around August 22nd, not July 12th.
Choice B rationale
Using the same calculation method, adding 280 days to November 15th results in an EDD around August 22nd, not August 12th.
Choice C rationale
This choice is close but not accurate. Adding 280 days to November 15th results in an EDD around August 22nd.
Choice D rationale
This is the correct calculation. Adding 280 days to November 15th results in an EDD around August 22nd.
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Correct Answer is D
Explanation
Choice A rationale
A 25%-35% increase in blood volume is lower than the actual increase observed during pregnancy. This choice is incorrect.
Choice B rationale
A 10%-20% increase in blood volume is significantly lower than the actual increase observed during pregnancy. This choice is incorrect.
Choice C rationale
A 60%-70% increase in blood volume is higher than the actual increase observed during pregnancy. This choice is incorrect.
Choice D rationale
The correct percentage of increased blood volume during pregnancy is 40%-50%. This increase helps accommodate the growing fetus and placenta, and prepares the body for the blood loss that occurs during delivery.
Correct Answer is C
Explanation
Choice A rationale
Providing additional information about the disorder is appropriate as it helps the couple understand the condition better and prepare for the future. This information can include the nature of the disorder, potential complications, and available treatments or interventions.
Choice B rationale
Referring the couple to a disorder-specific support group is also appropriate. Support groups can provide emotional support, practical advice, and a sense of community for families facing similar challenges. This can help the couple cope with the diagnosis and connect with others who have similar experiences.
Choice C rationale
Determining whether termination has been considered is inappropriate because the couple has already decided to continue the pregnancy. Bringing up termination at this point can be distressing and may undermine their decision. The nurse should respect their choice and focus on providing support and information relevant to continuing the pregnancy.
Choice D rationale
Explaining that they may experience grief, which is normal, is appropriate. Grief is a common response to learning about a serious genetic disorder in a fetus, and normalizing these feelings can help the couple process their emotions and seek appropriate support.