The patient reports that the first day of her last normal menstrual period was December 8. Using Nägele's rule, what date will the nurse identify as the estimated date of birth?
a. March 1
b. March 15
c. September 1
d. September 15
ANS: D
Nägele's rule is often used to establish the EDD. This method involves subtracting 3 months from the date the LNMP began and adding 7 days. The incorrect responses add months instead of subtracting months and subtract days instead of adding days.
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A patient, age 23, seeks care at the health clinic because he has developed a profuse, purulent urethral discharge, and urination is painful. During assessment of the patient, it is most important that the nurse gather information related to
a. all of his sexual contacts within the past year. b. a history of previous similar symptoms. c. a history of bladder infections or mumps affecting the testicles. d. a history of recent sexual contact with an individual with a sexually transmitted disease.
A woman who has arthritis is breast-feeding her infant and asks the nurse if it is safe to take NSAIDs while nursing. What will the nurse tell this patient?
a. NSAIDs are safe to take while breast-feeding. b. NSAIDs are not safe, even in small amounts. c. She should take only COX-2 inhibitors while breast-feeding. d. She should request a prescription for nar-cotic analgesics.
The student nurse interprets which characteristic as one of graduates from a diploma school of nursing?
a. They have obtained a general education in nursing theory and sciences that can be applied toward an advanced degree. b. They are well prepared to function in the institution in which the school is located. c. Advanced courses in nursing management and leadership apply to advanced degrees in nursing. d. They are prepared to practice in advanced nursing clinical situations.
When teaching prevention to the parents of a 15-year-old client who recently attempted suicide by taking an overdose of Xanax (alprazolam), the nurse describes which of the following behavioral clues?
A) Angry outbursts at significant others B) Inquiry about doses of lethal drugs C) Giving away valued personal items D) Experiencing the loss of a boyfriend or girlfriend