Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is assessing a client during her first prenatal visit. The client reports March 20 as her last menstrual period.
Use Naegele's rule to calculate the estimated date of delivery.
(Use the MMDD format with four numerals and no spaces or punctuation: MMDD.)
This question is an excerpt from Nurse Dive's nursing test bank - ATI RN Maternal Newborn 2019 with NGN Proctored Exam. Take the full exam now
Full Explanation
Naegele’s rule is a method for estimating the due date of a baby based on the woman’s last menstrual period (LMP).
It involves adding seven days and subtracting three months from the first day of the LMP.
It assumes a 28-day menstrual cycle and a 280-day gestation period, which may vary for different women 1.
Using this rule, if the client’s last menstrual period was March 20, then adding seven days would give March 27.
Subtracting three months would give December 27 of the previous year.
Adding one year would give December 27 of the current year, which is the estimated date of delivery in MMDD format: 1227.
Similar Questions
A nurse is providing discharge instructions to a client who is breastfeeding her newborn.
Which of the following instructions should the nurse include?
A. Offer the newborn 30 mL (1 oz) of water between feedings.
Newborns do not need water between feedings.
B. Allow the baby to feed at least every 3 hours.
The American Academy of Pediatrics (AAP) strongly recommends exclusive breastfeeding for at least 6 months. Exclusive breastfeeding means that your baby has only breastmilk for 6 months. That means giving your baby breastmilk from your breasts or from botles. Don’t give your baby water, sugar water, or formula. The other choices are not recommended.
C. Feed the newborn 5 to 10 min per breast.
The length of time a newborn feeds per breast can vary and is not necessarily limited to 5-10 minutes.
D. Expect two to four wet diapers every 24 hours.
Newborns typically have more than two to four wet diapers every 24 hours.
Full Explanation
The American Academy of Pediatrics (AAP) strongly recommends exclusive breastfeeding for at least 6 months.
Exclusive breastfeeding means that your baby has only breastmilk for 6 months. That means giving your baby breastmilk from your breasts or from botles.
Don’t give your baby water, sugar water, or formula.
The other choices are not recommended:
A. Newborns do not need water between feedings.
C. The length of time a newborn feeds per breast can vary and is not necessarily
limited to 5-10 minutes.
D. Newborns typically have more than two to four wet diapers every 24 hours.
A nurse is caring for a client who is at 30 weeks of gestation.
The nurse should plan to immunize the client with which of the following vaccines? (Select all that apply.)
A. Inactivated influenza.
The nurse should plan to immunize the client with the inactivated influenza vaccine (A) and the diphtheria-acellular pertussis vaccine (E). The Centers for Disease Control and Prevention (CDC) recommends that pregnant women get two vaccines during every pregnancy: the inactivated flu vaccine and the Tdap vaccine.
B. Human papillomavirus.
The human papillomavirus vaccine is not recommended during pregnancy.
C. Varicella.
The varicella vaccine is not recommended during pregnancy.
D. Measles, mumps, and rubella.
The measles, mumps, and rubella vaccine is not recommended during pregnancy.
E. Diphtheria-acellular pertussis.
The nurse should plan to immunize the client with the inactivated influenza vaccine (A) and the diphtheria-acellular pertussis vaccine (E). The Centers for Disease Control and Prevention (CDC) recommends that pregnant women get two vaccines during every pregnancy: the inactivated flu vaccine and the Tdap vaccine.
Full Explanation
The nurse should plan to immunize the client with the inactivated influenza vaccine (A) and the diphtheria-acellular pertussis vaccine (E).
The Centers for Disease Control and Prevention (CDC) recommends that pregnant women get two vaccines during every pregnancy: the inactivated flu vaccine and the Tdap vaccine.
The other vaccines listed are not recommended during pregnancy:
- The human papillomavirus vaccine is not recommended during pregnancy.
- The varicella vaccine is not recommended during pregnancy.
- The measles, mumps, and rubella vaccine is not recommended during pregnancy.
A nurse is caring for a client who is in active labor and has gonorrhea.
For which of the following potential complications of gonorrhea should the nurse monitor?
A. Chorioamnionitis.
The nurse should monitor for chorioamnionitis, which is an infection of the amniotic sac and fluid. The other choices are not potential complications of gonorrhea.
B. Vaginal laceration during birth.
Vaginal laceration during birth is not a complication of gonorrhea.
C. Oligohydramnios.
Oligohydramnios is not a complication of gonorrhea.
D. Excessive bleeding after birth.
Excessive bleeding after birth is not a complication of gonorrhea.
E. Excessive bleeding after birth.
Full Explanation
A. The nurse should monitor for chorioamnionitis, which is an infection of the amniotic sac and fluid.
The other choices are not potential complications of gonorrhea:
B. Vaginal laceration during birth is not a complication of gonorrhea.
C. Oligohydramnios is not a complication of gonorrhea.
D. Excessive bleeding after birth is not a complication of gonorrhea.