A client's last menstrual period was June 10. What is her ...

[serike]

A client's last menstrual period was June 10. What is her estimated date of birth (EDD)?
 
  a. April 7
  b. March 17
  c. March 27
  d. April 17

Question 2

Physiologic anemia often occurs during pregnancy because of:
 
  a. inadequate intake of iron.
  b. the fetus establishing iron stores.
  c. dilution of hemoglobin concentration.
  d. decreased production of erythrocytes.

[heyhey123]

Answer to Question 1

ANS: B
To determine the EDD, the nurse uses the first day of the last menstrual period (June 10), subtracts 3 months (March 10), and adds 7 days (March 17). April 7 would be subtracting 2 months instead of 3 months and then subtracting 3 days instead of adding 7 days. March is the correct month, but instead of adding 7 days, 17 days were added. April 17 is subtracting 2 months instead of 3.

Answer to Question 2

ANS: C
When blood volume expansion is more pronounced and occurs earlier than the increase in red blood cells, the woman will have physiologic anemia, which is the result of dilution of hemoglobin concentration rather than inadequate hemoglobin. Inadequate intake of iron may lead to true anemia. If the woman does not take an adequate amount of iron, true anemia may occur when the fetus pulls stored iron from the maternal system. There is increased production of erythrocytes during pregnancy.

[serike]

TYSM

[nyrave]

Excellent