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A client is pregnant with her second child. Her last menstrual period began on January 15. Her expected date of delivery would be:

  1. October 8
  2. October 15
  3. October 22
  4. October 29

Answer(s): C

Explanation:

(A) Incorrect application of Nägele's rule: correctly subtracted 3 months but subtracted 7 days rather than added. (B) Incorrect application of Nägele's rule: correctly subtracted 3 months but did not add 7 days. (C) Correct application of Nägele's rule: correctly subtracted 3 months and added 7 days. (D) Incorrect application of Nägele's rule: correctly subtracted 3 months but added 14 days instead of 7 days.



A client is pregnant with her second child. Her last menstrual period began on January 15. Her expected date of delivery would be:

  1. October 8
  2. October 15
  3. October 22
  4. October 29

Answer(s): C

Explanation:

(A) Incorrect application of Nägele's rule: correctly subtracted 3 months but subtracted 7 days rather than added. (B) Incorrect application of Nägele's rule: correctly subtracted 3 months but did not add 7 days. (C) Correct application of Nägele's rule: correctly subtracted 3 months and added 7 days. (D) Incorrect application of Nägele's rule: correctly subtracted 3 months but added 14 days instead of 7 days.



Other drugs may be ordered to manage a client's ulcerative colitis. Which of the following medications, if ordered, would the nurse question?

  1. Methylprednisolone sodium succinate (Solu-Medrol)
  2. Loperamide (Imodium)
  3. Psyllium
  4. 6-Mercaptopurine

Answer(s): D

Explanation:

(A) Methylprednisolone sodium succinate is used for its anti-inflammatory effects. (B) Loperamide would be used to control diarrhea. (C) Psyllium may improve consistency of stools by providing bulk. (D) An immunosuppressant such as 6-mercaptopurine is used for chronic unrelenting Crohn's disease.



Other drugs may be ordered to manage a client's ulcerative colitis. Which of the following medications, if ordered, would the nurse question?

  1. Methylprednisolone sodium succinate (Solu-Medrol)
  2. Loperamide (Imodium)
  3. Psyllium
  4. 6-Mercaptopurine

Answer(s): D

Explanation:

(A) Methylprednisolone sodium succinate is used for its anti-inflammatory effects. (B) Loperamide would be used to control diarrhea. (C) Psyllium may improve consistency of stools by providing bulk. (D) An immunosuppressant such as 6-mercaptopurine is used for chronic unrelenting Crohn's disease.






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