Practice Quiz

Nurse Midwife Exam Prep

Category - Midwifery

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A 21-year-old female client comes to the prenatal clinic after a home pregnancy test indicated a positive result. The client informs the nurse midwife that her last menstrual period was on October 28, 2010. Using Nagele’s rule, the client’s expected date of birth is on:
  1. August 4, 2011
  2. July 21, 2011
  3. July 4, 2011
  4. August 21, 2011
Explanation
Answer: A - The client’s expected date of birth using Nagele’s rule is August 4, 2011. Nagele’s rule is the standard method used to predict the length of pregnancy. To calculate the estimated date of delivery (EDD or EDC, for estimated date of confinement), add one year to the date of the last menstrual period (LMP), count back 3 months and add 7 days.
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