NCLEX-RN QUESTION 1 A 25-year-old client believes she may be pregnant with her first child. She schedules an obstetric examination with the nuof her possible pregnancy. Her last menstrual period began May 20, and her estimated date of confinement using Nägele'A. March 27 B. February 1 C. February 27 D. January 3 Correct Answer: C Section: (none) Explanation Explanation/Reference: Explanation: (A)March 27 is a miscalculation. (B) February 1 is a miscalculation. (C) February 27 is the correct answer. To calculate Nagele's rule, subtract 3 months from the date that the last menstrual cycle began and then add 7 days to the result. (D) JQUESTION 2 The nurse practitioner determines that a client is approximately 9 weeks' gestation. During the visit, the practitioner informchanges that she will experience during her first trimester, such as: A. Nausea and vomiting B. Quickening C. A 68 lb weight gain D. Abdominal enlargement Correct Answer: A Section: (none) Explanation Explanation/Reference: Explanation: (A) Nausea and vomiting are experienced by almost half of all pregnant women during the first 3 months of pregnancy gonadotropin levels and changed carbohydrate metabolism. (B) Quickening is the mother's perception of fetal movementweeks after the last menstrual period in primigravidas, but it may occur as early as 16 weeks in multigravidas. (C) Duringmodest weight gain of 24 lb. It is not uncommon for women to lose weight during the first trimester owing to nausea and/oapparent until the second trimester, when the uterus rises out of the pelvis. QUESTION 3 A 38-year-old pregnant woman visits her nurse practitioner for her regular prenatal checkup. She is 30 weeks' gestation. Threlated to her age?