Author Question: The nurse is seeing a patient who asks about the accuracy of Nagele's rule. The nurse explains that ... (Read 26 times)

shofmannx20 · **on:** Jun 27, 2018

The nurse is seeing a patient who asks about the accuracy of Nagele's rule. The nurse explains that accuracy can be compromised when: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply.

1. There is a history of regular menses every 28 days.
2. Amenorrhea is present and ovulation occurs with breastfeeding.
3. Oral contraception was discontinued, but no regular menstruation was established.
4. There has been one or months of amenorrhea.
5. There is an accurate date for the last menstrual period.

Question 2

A 38-year-old client in her second trimester states a desire to begin an exercise program to decrease her fatigue. What is the most appropriate nursing response?

1. Fatigue should resolve in the second trimester, but walking daily might help.
2. Avoid a strenuous exercise regimen at your age. Drink coffee to combat fatigue.
3. Avoid an exercise regimen due to your pregnancy. Try to nap daily.
4. Fatigue will increase as pregnancy progresses, but running daily might help.

dyrone · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

2,3,4
Rationale 1: A woman with a history of regular periods every 28 days will most likely have an accurate due date calculated by Nagele's rule.
Rationale 2: Nagele's rule is not always accurate for women who have amenorrhea but are ovulating and conceive while breastfeeding.
Rationale 3: Nagele's rule is not always accurate for women who conceive before regular menstruation is established following discontinuation of oral contraceptives or termination of a pregnancy.
Rationale 4: Nagele's rule is not always accurate for women with markedly irregular periods that include one or more months of amenorrhea.
Rationale 5: When there is an accurate date for the last menstrual period, the due date will be accurate using Nagele's rule.

Answer to Question 2

1
Explanation: 1. Even mild to moderate exercise is beneficial during pregnancy. Regular exerciseat least 30 minutes of moderate exercise daily or at least most days of the weekis preferred.