The nurse assesses a pregnant client who reported that first day of her last menstrual period was April 8, 2010. Using Nägele’s rule, the nurse tells the client that the expected date of confinement is:
  1. February 15, 2011
  2. January 1, 2011
  3. January 15, 2011
  4. February 1, 2011
Explanation
Answer: C - According to Nägele’s rule, the expected date of confinement is obtained by adding 7 days to the first day of the last menstrual period, subtracting 3 months, and adding 1 year to that date.

April 8, 2010 - add 7 days = April 15, 2010
April 15, 2010 - subtract 3 months = January 15, 2010
January 15, 2010 - add 1 year = January 15, 2011
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