Author Question: The patient reports that the first day of her last normal menstrual period was December 8. Using ... (Read 47 times)

Charlie · **on:** Jun 28, 2018

The patient reports that the first day of her last normal menstrual period was December 8. Using Ngele'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

Question 2

The client with an IUD has a positive pregnancy test. When planning care, the nurse will base decisions on which anticipated action?

a. A therapeutic abortion will need to be scheduled because fetal damage is inevitable.
b. Hormonal analyses will be done to determine the underlying cause of the false-positive test result.
c. The IUD will need to be removed to avoid complications such as miscarriage or infection.
d. The IUD will need to remain in place to avoid injuring the fetus.

bigcheese9 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: D
Ngele'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.

Answer to Question 2

ANS: C
Pregnancy with an intrauterine device (IUD) in place is unusual but it can occur and cause complications such as spontaneous abortion and infection. A therapeutic abortion is not indicated unless infection occurs.