Use Ngele's rule to determine the EDD (estimated day of birth) ...

[luminitza]

Use Ngele's rule to determine the EDD (estimated day of birth) for a client whose last menstrual period started on April 12.
 
  a. February 19
  b. January 19
  c. January 21
  d. February 7

Question 2

A client who smokes one pack of cigarettes daily has a positive pregnancy test. The nurse will explain that smoking during pregnancy increases the risk of which condition?
 
  a. Congenital anomalies
  b. Death before or after birth
  c. Neonatal hypoglycemia
  d. Neonatal withdrawal syndrome

[wfdfwc23]

Answer to Question 1

ANS: B
Ngele's rule subtracts 3 months from the month of the last menstrual period (month 4 month  3 = January) and adds 7 days to the day that the last menstrual period started (April 12 + 7 days = April 19), so the correct answer is January 19.

Answer to Question 2

ANS: B
Smoking during pregnancy increases the risk for spontaneous abortion, low birth weight, abruptio placentae, placenta previa, preterm birth, perinatal mortality, and SIDS. Smoking does not appear to cause congenital anomalies, hypoglycemia, or withdrawal syndrome.

[luminitza]

Thanks for the timely response, appreciate it

[essyface1]

Excellent