A patient's pregnancy test is positive, and she wants to know ...

[daltonest1984]

A patient's pregnancy test is positive, and she wants to know when the baby is due. The first day of her last menstrual period was June 14, and that period ended June 20. Using the Ngele rule, what is her expected date of delivery?
 
  a. March 7
  b. March 14
  c. March 21
  d. March 27

Question 2

During the assessment of a woman in her 22nd week of pregnancy, the nurse is unable to hear fetal heart tones with the fetoscope. The nurse should:
 
  a. Immediately notify the physician, then wait 10 minutes and try again.
  b. Ask the woman if she has felt the baby move today.
  c. Wait 10 minutes, and try again.
  d. Use ultrasound to verify cardiac activity.

[aruss1303]

Answer to Question 1

ANS: C
To determine the expected date of delivery using the Ngele rule, 7 days are added to the first day of the last menstrual period; then 3 months are subtracted. Therefore, adding 7 days to June 14 would be June 21 and subtracting 3 months would make the expected delivery date March 21.

Answer to Question 2

ANS: D
If no fetal heart tones are heard during auscultation with a fetoscope, then the nurse should verify cardiac activity using ultrasonography. An ultrasound should be immediately done and before notifying the physician or causing the woman distress by asking about fetal movement.

[daltonest1984]

TYSM

[alvinum]

Gracias!