NCLEX.Braindumps.NCLEX-RN.v2015-03-20.by.Roberto.860q.pdf | Download for quality grades

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QUESTION 1A 25-year-old client believes she may be pregnant with her first child. She schedules an obstetric examination with the nurse practitioner to determinethe status of her possible pregnancy. H... er last menstrual period began May 20, and her estimated date of confinement using Nägele's ruleis:A.March 27B.February 1C.February 27D.January 3Correct Answer:CSection: (none)ExplanationExplanation/Reference:Explanation:(A)March 27 is a miscalculation. (B) February 1 is a miscalculation. (C) February 27 is the correct answer. To calculate the estimated date ofconfinement using Nagele's rule, subtract 3 months from the date that the last menstrual cycle began and then add 7 days to the result. (D) January 3 isa miscalculation. QUESTION 2The nurse practitioner determines that a client is approximately 9 weeks' gestation. During the visit, the practitioner informs the client about symptomsof physical changes that she will experience during her first trimester, such as:A.Nausea and vomitingB. QuickeningC.A 68 lb weight gainD.Abdominal enlargementCorrect Answer:ASection: (none)ExplanationExplanation/Reference:Explanation:(A) Nausea and vomiting are experienced by almost half of all pregnant women during the first 3 months of pregnancy as a result of elevated humanchorionic gonadotropin levels and changed carbohydrate metabolism. (B) Quickening is the mother's perception of fetal movement and generally doeswww.vceplus.com - Website designed to help IT pros advance their careers - Born to Learn not occur until 1820 weeks after the last menstrual period in primigravidas, but it may occur as early as 16 weeks in multigravidas. (C) During the firsttrimester there should be only a modest weight gain of 24 lb. It is not uncommon for women to lose weight during the first trimester owing to nauseaand/or vomiting. (D) Physical changes are not apparent until the second trimester, when the uterus rises out of the pelvis. [Show More]

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