What was the due date you gave her?
A 20-year-old college student comes in with symptoms of fatigue, nausea, and an increase in urination. Her last period was 3 months ago (June 20, 2008). She is sexually active and always uses condoms. Her past medical history is unremarkable. On examination you see a young, anxious-appearing woman. Her vital signs are unremarkable. Her head, eyes, ears, throat, neck, thyroid, cardiac, pulmonary, and abdominal examinations are unremarkable. On pelvic examination a soft cervix is palpated and a 14-week-sized uterus is palpated. A urine pregnancy test is positive. You then inform the patient that she is expecting and, using Naegele's rule, give her the estimated date of confinement (EDC, or due date).
A) March 27, 2009
B) March 13, 2009
C) September 27, 2009
D) March 20, 2009
A) March 27, 2009
By Naegele's rule you add 7 days to the last menstrual period and then subtract 3 months. This gives you March 27, 2009.
You might also like to view...
A new nurse is working with a preceptor on an inpatient medical-surgical unit. The preceptor advises the student that which is the priority when working as a professional nurse?
a. Attending to holistic client needs b. Ensuring client safety c. Not making medication errors d. Providing client-focused care
Accurate documentation of client health teaching is a critical component of quality care. When documenting in the client's chart about health teaching for a client admitted for alcoholism, the nurse should write
a. "Client was educated on the physical complications of alcoholism." b. "Client received written and verbal instructions on diet and vitamin therapy." c. "Client was educated on the signs and symptoms of alcohol withdrawal and when to seek medical assistance." d. "Client was able to identify five triggers for relapse and was assisted to develop a relapse prevention plan."
What is the most important factor in obtaining an accurate cultural assessment of a client?
a. Using a comprehensive assessment tool b. Establishing a warm, trusting relationship c. Using a translator d. Asking pointed questions about the client's beliefs and values
Which condition is a sign of hypokalemia?
1. Constipation 2. Hypertension 3. Muscle weakness 4. Weight gain