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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?

A.

July 12.

B.

August 12.

C.

August 22.

D.

July 22.

Answer and Explanation

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 C

Explanation

Choice A rationale

Changing professions is not necessary solely due to pregnancy. However, it is important to consider the specific risks associated with the current job. In this case, the client works in a hair and nail salon, which may expose her to various chemicals and environmental toxins. These toxins can pose risks to both the mother and the developing fetus. Therefore, the focus should be on minimizing exposure to these hazards rather than changing professions altogether.

Choice B rationale

While it is important to be mindful of weight limits during pregnancy to avoid strain and injury, this is not the primary concern for a client working in a hair and nail salon. The main risk in this scenario is exposure to environmental toxins, which can have more significant implications for the health of the mother and the developing fetus.

Choice C rationale

Exposure to environmental toxins is a significant concern for pregnant women working in hair and nail salons. These environments often contain chemicals such as formaldehyde, toluene, and phthalates, which can be harmful to both the mother and the developing fetus. Educating the client about the risks associated with these toxins and providing guidance on how to minimize exposure is crucial for ensuring a healthy pregnancy.

Choice D rationale

While reducing the number of clients seen in a day may help manage physical strain and fatigue, it does not address the primary concern of exposure to environmental toxins. The focus should be on minimizing contact with harmful chemicals and ensuring a safe working environment for the pregnant client.

Correct Answer is B

Explanation

Choice A rationale

Fetal movements, known as quickening, are typically felt by the mother between 16 and 25 weeks of pregnancy, not specifically at week 245.

Choice B rationale

The baby’s heartbeat can be detected by 10-12 weeks of pregnancy using a Doppler ultrasound device. This is an important milestone in fetal development and prenatal care

.

Choice C rationale

Lanugo, the fine hair covering the fetus, usually appears around 20 weeks of pregnancy and starts to disappear closer to the end of the third trimester, not specifically by week 355.

Choice D rationale

The sex of the baby is determined at conception, but it can be detected via ultrasound around 18-20 weeks of pregnancy, not by week 85.

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