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11. The nurse is assessing a client who states her last menstrual period was March 16, and she has missed one period. She reports episodes of nausea and vomiting. Pregnancy is confirmed by a urine test. What will the nurse calculate as the estimated date of delivery (EDD)?

A) April 8
B) January 15
C) February 11
D) December 23

1 Answer

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Final answer:

After applying Naegele's Rule to the last menstrual period date of March 16, the estimated date of delivery is calculated to be December 23, which corresponds to answer D) December 23.

Step-by-step explanation:

The nurse will calculate the estimated date of delivery (EDD) using Naegele's Rule, which adds one year, subtracts three months, and adds seven days to the first day of the client's last menstrual period (LMP). In this case, the LMP is March 16. Therefore, adding one year gives us March 16 of the next year, subtracting three months changes it to December 16, and finally adding seven days gives us an EDD of December 23. The correct answer to the question is D) December 23.

Other Related Information:

A woman's concern about becoming pregnant after ovulating is valid due to sperm's ability to survive for several days in the reproductive tract. The experience of minor bleeding about 3 weeks after the LMP could possibly indicate implantation bleeding, a common early pregnancy event. During the first trimester, symptoms such as nausea and vomiting can occur as early signs of pregnancy, often referred to as morning sickness.

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