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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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View Related questions

Correct Answer is C

Explanation

Choice A rationale

Allowing the older sibling to hear the baby’s heartbeat at a prenatal visit can help them feel involved and connected to the new baby. This can be a positive experience and does not require follow-up by the nurse.

Choice B rationale

Enrolling the older sibling in a sibling preparation class at the hospital is a good way to prepare them for the arrival of the new baby. These classes often provide valuable information and help older siblings understand what to expect.

Choice C rationale

Bringing the new baby home as a surprise can be problematic. It may cause the older sibling to feel excluded or unprepared for the new addition to the family. It is important to involve the older sibling in the process and prepare them for the changes that will come with the new baby.

Choice D rationale

Allowing the older sibling to pick out a gift for the baby and having a gift for them from the baby can help foster a positive relationship between the siblings. This approach can make the older sibling feel valued and included.

Correct Answer is C

Explanation

Choice A rationale

A blood transfusion just after delivery is not a standard intervention for a client with Rh-negative blood type. The primary concern for Rh-negative clients is the potential for Rh incompatibility with the fetus, which can lead to hemolytic disease of the newborn. This condition is prevented by administering RhO(D) immune globulin during pregnancy.

Choice B rationale

Maternal serum alpha-fetoprotein (MSAFP) testing is used to screen for certain fetal abnormalities, such as neural tube defects, but it is not specifically related to Rh incompatibility. The primary intervention for Rh-negative clients is the administration of RhO(D) immune globulin to prevent sensitization.

Choice C rationale

RhO(D) immune globulin is administered at around 28 weeks of gestation to prevent Rh sensitization in Rh-negative clients. This intervention is crucial for preventing the development of antibodies that could harm the fetus in current or future pregnancies.

Choice D rationale

A three-hour glucose tolerance test is used to screen for gestational diabetes, which is a separate concern from Rh incompatibility. The primary intervention for Rh-negative clients is the administration of RhO(D) immune globulin.

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