Author Question: The nurse receives a phone call from a patient who claims she is pregnant. The patient reports that ... (Read 83 times)

ss2343 · **on:** Jun 27, 2018

The nurse receives a phone call from a patient who claims she is pregnant. The patient reports that she has regular menses that occur every 28 days and last 5 days. The first day of her last menses was April 10.

What would the patient's estimated date of delivery (EDD) be? 1. Nov. 13
2. Jan. 17
3. Jan. 10
4. Dec. 3

Question 2

The neonate was born 5 minutes ago. The body is bluish. The heart rate is 150. The infant is crying strongly. The infant cries when the sole of the foot is stimulated. The arms and legs are flexed, and resist straightening.

What should the nurse record as this infant's Apgar score? 1. 7
2. 8
3. 9
4. 10

daiying98 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

2
Rationale 1: Nov. 13 is not correct according to Nagele's rule.
Rationale 2: The due date is Jan. 17. Nagele's rule is to add 7 days to the last menstrual period and subtract 3 months. The last menstrual period is April 10; therefore Jan. 17 is the EDD.
Rationale 3: Jan. 10 is not correct according to Nagele's rule.
Rationale 4: Dec. 3 is not correct according to Nagele's rule.

Answer to Question 2

2
Rationale 1: The Apgar score would be higher; only the skin color needs to be subtracted.
Rationale 2: The strong cry earns 2 points. The crying with foot sole stimulation earns 2 points. The limb flexion and resistance earn 2 points each. Bluish color earns 0 points. The Apgar score is 8.
Rationale 3: The Apgar score would be lower than 9 because of the skin color.
Rationale 4: Ten is a perfect score. The nurse needs to subtract for skin color.