OB MATERNAL NEWBORN ATI PROCTORED 2024 ACTUAL EXAM / MATERNAL NEWBORN OB NEWEST EXAM TEST BANK 100 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES 2024 UPDATE GRADED A+

OB MATERNAL NEWBORN ATI PROCTORED 2024 ACTUAL EXAM / MATERNAL NEWBORN OB NEWEST EXAM TEST BANK 100 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES 2024 UPDATE GRADED A+ A 24-year-old client who is planning to become pregnant comes to the clinic for an evaluation. When assessing the client, which finding would alert the nurse to implement measures to reduce the client's risk for problems during pregnancy? Select all that apply. - CORRECT ANSWERdrinks wine 3 to 4 times/week follows a vegetarian diet uses ibuprofen daily Rationale: The use of alcohol and prescription and over-the-counter drugs can be harmful to a growing fetus. Thus the nurse would need to address these areas with the client. If the client was still smoking, then that too would need to be addressed. Healthy nutrition is important, but being a vegetarian does not necessarily indicate that the client is a nutritional risk. A BMI of 22 is considered normal and would not pose a problem. A woman is at 20 weeks' gestation. The nurse would expect to find the fundus at which area? - CORRECT ANSWER-at the level of the umbilicus Rationale: The uterus, which starts as a pear-shaped organ, becomes ovoid as length increases over width. By 20 weeks' gestation, the fundus, or top of the uterus, is at the level of the umbilicus and measures 20 cm. A monthly measurement of the height of the top of the uterus in centimeters, which corresponds to the number of gestational weeks, is commonly used to date the pregnancy. During a routine prenatal visit, a client, 36 weeks pregnant, states she has difficulty breathing and feels like her pulse rate is really fast. The nurse finds her pulse to be 100 beats per minute (increased from baseline readings of 70 to 74 beats per minute) and irregular, with bilateral crackles in the lower lung bases. The nurse would develop a plan of care identifying interventions to promote which area as the priority? - CORRECT ANSWER-gas exchange Rationale: Typically, heart rate increases by approximately 10 to 15 beats per minute during pregnancy and the lungs should be clear. Dyspnea may occur during the third trimester as the enlarging uterus presses on the diaphragm. However, the findings described indicate that the woman is experiencing impaired gas exchange. There is no evidence to support problems with tissue perfusion, activity, or anxiety. A nurse measures a pregnant woman's fundal height and finds it to be 28 cm. The nurse interprets this to indicate that the client is at how many weeks' gestation? - CORRECT ANSWER-28 weeks' gestation Rationale: Typically, the height of the fundus is measured when the uterus arises out of the pelvis to evaluate fetal growth. At 12 weeks' gestation the fundus can be palpated at the symphysis pubis. At 16 weeks' gestation the fundus is midway between the symphysis and the umbilicus. At 20 weeks the fundus can be palpated at the umbilicus and measures approximately 20 cm from the symphysis pubis. By 36 weeks the fundus is just below the xiphoid process and measures approximately 36 cm. A client at a prenatal class requests information on how the gender of a baby is determined. Which statement made by the nurse would be most accurate? - CORRECT ANSWERGender is determined at conception and depends on whether the ovum is fertilized by a Y-bearing or an X-bearing sperm Rationale: Sex determination is also determined at fertilization and depends on whether the ovum is fertilized by a Y-bearing sperm or an X-bearing sperm. Approximately half of sperm carry the XX chromosome and the other half carries XY. An XX zygote will become a female and an XY zygote will become a male. That is why it is scientifically correct to say that the sex of the infant is determined by the father and not by the mother. Gender is determined before the embryo stage and at conception by sperm carrying Y or X bearing chromosomes. A client comes to the clinic with abdominal pain. Based on her history the nurse suspects endometriosis. The nurse expects to prepare the client for which evaluatory method to confirm this suspicion? - CORRECT ANSWER-transvaginal ultrasound Rationale: The only certain method of diagnosing endometriosis is by seeing it. Therefore, the nurse would expect to prepare the client for a laparoscopy to confirm the diagnosis. A pelvic examination and transvaginal ultrasound are done to assess for endometriosis but do not confirm its presence. Hysterosalpingography aids in identifying tubal problems resulting in infertility. A client who has come to the clinic is diagnosed with endometriosis. What would the nurse expect the primary care provider to prescribe as a first-line treatment? - CORRECT ANSWER-NSAIDs Rationale: Although progestins, antiestrogens, and gonadotrophinreleasing analogues are used as treatment options for endometriosis, NSAIDS are considered the first-line treatment to reduce pain. A couple comes to the clinic for a fertility evaluation. The male partner is to undergo a semen analysis. After teaching the partner about this test, which client statement indicates that the client has understood the instructions? - CORRECT ANSWER-I have to abstain from sexual activity for about 1 to 2 days before the sample. Rationale: Semen analysis is the most important indicator of male fertility. The man should abstain from sexual activity for 24 to 48 hours before giving the sample. For a semen examination, the man is asked to produce a specimen by ejaculating into a specimen container and delivering it to the laboratory for analysis within 1 to 2 hours. When the specimen is brought to the laboratory, it is analyzed for volume, viscosity, number of sperm, sperm viability, motility, and sperm shape. A couple comes to the clinic for preconception counseling and care. As part of the visit, the nurse teaches the couple about fertilization and initial development, stating that the zygote formed by the union of the ovum and sperm consists of how many chromosomes? - CORRECT ANSWER-46 Rationale: With fertilization, the ovum, containing 23 chromosomes, and the sperm, containing 23 chromosomes, join, forming a zygote with a diploid number or 46 chromosomes. After discussing various methods of contraception with a client and her partner, the nurse determines that the teaching was successful when they identify which contraceptive method as providing protection against sexually transmitted infections (STIs)? - CORRECT ANSWERcondoms Rationale: Condoms are a barrier method of contraception. In addition to providing a physical barrier for sperm, they also protect against STIs. Oral contraceptives, tubal ligation, and intrauterine systems provide no protection against STIs. After teaching a group of adolescent girls about female reproductive development, the nurse determines that teaching was successful when the girls state that menarche is defined as a woman's first: - CORRECT ANSWERmenstrual period Rationale: Menarche is defined as the establishment of menstruation. It does not refer to the woman's first sexual experience, full hormonal cycle, or sign of breast development. After teaching a group of pregnant women about breastfeeding, the nurse determines that the teaching was successful when the group identifies which hormone as important for the production of breast milk after birth? - CORRECT ANSWER-prolactin Rationale: After birth and expulsion of the placenta, prolactin stimulates the production of milk. Placental estrogen and progesterone stimulate the development of the mammary glands during pregnancy. Gonadotropin-releasing hormone induces the release of follicle-stimulating hormone and luteinizing hormone to assist with ovulation. After teaching a pregnant woman about the hormones produced by the placenta, the nurse determines that the teaching was successful when the woman identifies which hormone produced as being the basis for pregnancy tests? - CORRECT ANSWER-Human chorionic gonadotropin (hCG) Rationale: The placenta produces hCG, which is the basis for pregnancy tests. This hormone preserves the corpus luteum and its progesterone production so that the endometrial lining is maintained. Human placental lactogen modulates fetal and maternal metabolism and participates in the development of the breasts for lactation. Estrogen causes enlargement of the woman's breasts, uterus, and external genitalia and stimulates myometrial contractility. Progesterone maintains the endometrium. A nurse is conducting an in-service program for a group of nurses on the health of women and their families, incorporating information from Healthy People 2020. The nurse determines that additional discussion and clarification is needed when the group makes which statement? - CORRECT ANSWER-Immunizations may be the cause of some illnesses being seen currently Rationale: Obesity, drug use, and smoking are major concerns. Physical activity and environmental quality are also on the list of leading health indicators in the Healthy People 2020 Report. The students that understood that immunizations are the causes of diseases need clarification since maintenance of immunizations is one of the health indicators listed in the report. A nurse is conducting an orientation program for a group of newly hired nurses. As part of the program, the nurse is reviewing the issue of informed consent. The nurse determines that the teaching was effective when the group identifies which situation as a violation of informed consent? - CORRECT ANSWER-Performing a procedure on a 15-year-old without parental consent Rationale: In most states, only clients over the age of 18 can legally provide consent for health care. Serving as a witness to the signature process, asking whether the client understands what she is signing, and getting verbal consent over the phone for emergency procedures are all key to informed consent and are not violations. A nurse is describing the cycle of violence to a community group. When explaining the first phase, the nurse would most likely include which description? - CORRECT ANSWERcharacterized by tension-building and minor battery Rationale: The cyclic behavior begins with a time of tension-building arguments, progresses to violence, and settles into a making-up or calm period. A nurse is planning a continuum of care for a client during pregnancy, labor, and childbirth. What is the most important factor in enhancing the birthing experience? - CORRECT ANSWER-Educating the client about the importance of a support person Rationale: Educating the client about the importance of a support person during labor and delivery has been shown to improve and enhance the birthing experience. A nurse is preparing a class discussion on cardiovascular disease in women. When discussing the priority risk factors for this disease, which would the nurse least likely include? Select all that apply. - CORRECT ANSWER-Menopause Gender Age Rationale: CVD is the leading cause of death in women. Risk factors of CVD differ between men and women with menopause, diabetes, and repeated weight losses and gains increasing the risk for coronary morbidity and mortality in women. Yoyo dieting or yo-yo effect, also known as weight cycling is a major risk factor. Gender and age are not major risk factors and should not be considered in this list. A nurse is preparing a class for a group of young adult women about emergency contraceptives (ECs). What information would the nurse need to stress to the group? Select all that apply. - CORRECT ANSWER-ECs induce an abortion-like reaction ECs are birth control pills in higher, more frequent doses ECs are not to be used in place of regular birth control ECs provide little protection for future pregnancies Rationale: Important points to stress concerning ECs are that ECs do not offer any protection against STIs or future pregnancies; they should not be used in place of regular birth control, as they are less effective; they are regular birth control pills given at higher doses and more frequently; and they are contraindicated during pregnancy (Miller, 2011). Contrary to popular belief, ECs do not induce abortion and are not related to mifepristone or RU-486, the so-called abortion pill approved by the FDA in 2000. A nurse is preparing an in-service program for a group of newly hired nurses about trends in care for pregnant women. When describing events of the past decade, the nurse would state that the average length of stay in the hospital for vaginal births is: - CORRECT ANSWER-24 to 48 hours or less Rationale: Hospital stays for vaginal births have averaged 24 to 48 hours or less during the past decade and 72 to 96 hours or less for cesarean births. A nurse is preparing for a health promotion presentation for new mothers. Which topics would be appropriate for the nurse to include in the presentation? Select all that apply. - CORRECT ANSWER-Breastfeeding encouragement Proper infant sleep position Infants in smoke-free environments How to swaddle their infants Rationale: Health promotion strategies can significantly improve an infant's health and chances of survival. Breastfeeding has been shown to reduce rates of infection in infants and to improve their long-term health. Emphasizing the importance of placing an infant on his or her back to sleep will reduce the incidence of sudden infant death syndrome (SIDS). Parents/partners should not share a bed with an infant younger than 12 weeks old and should avoid exposing the infant to tobacco smoke. Encouraging mothers to join support groups to prevent postpartum depression will improve the health of both mothers and their infants. Swaddling an infant and bed sharing is discouraged due to SIDS. A nurse is working with a woman who is a victim of violence. Which intervention would be most important for this client? - CORRECT ANSWER-reassuring her she is not alone Rationale: Although reassurance, documentation, and education are important for the client experiencing abuse, ensuring safety is the most important. A pregnant client tells her nurse that she is interested in arranging a home birth. After educating the client on the advantages and disadvantages of a home birth, which statement would indicate that the client understood the information? - CORRECT ANSWER-I want to have more control, but I am concerned if an emergency would arise Rationale: Home births have many advantages, such as having more control over the birth, being the least expensive option, creating a good relationship with a midwife, and having more flexibility in the comfort of your home. However, the limited availability of pain medication and danger to the mother and baby if an emergency arises are two of the main disadvantages. A prenatal nurse is conducting a class on healthy pregnancy and explains the role of placental hormones. Which statements would the nurse make? Select all that apply. - CORRECT ANSWER-Progesterone stimulates maternal metabolism and breast development Human placental lactogen participates in the development of maternal breasts for lactation Estrogen causes enlargement of a woman's breasts Human chorionic gonadotropin is the basis for pregnancy tests Rationale: Human chorionic gonadatropin is the basis for pregnancy tests. Human placental lactogen modulates fetal and maternal metabolism, participates in the development of maternal breasts for lactation. Estrogen (estriol)-causes enlargement of a woman's breasts, uterus, and external genitalia; stimulates myometrial contractility. Progesterone (progestin)-maintains the endometrium, decreases the contractility of the uterus, stimulates maternal metabolism and breast development. Relaxin-acts with progesterone to maintain pregnancy, causes relaxation of the pelvic ligaments. Progesterone-maintains the endometrium, decreases the contractility of the uterus, stimulates maternal metabolism and breast development. Thyroxin is not a placental hormone. At a prenatal class, the participants ask the nurse who would benefit from genetic counseling. Which responses by the nurse are correct? Select all that apply. - CORRECT ANSWER-A woman who is a grand multigravida A woman whose husband is age 50 years or older A woman who has been exposed to teratogens A young teenager experiencing her first pregnancy A woman who receives an abnormal alpha-fetoprotein result Rationale: Those shown to benefit from genetic counseling are women over the maternal age 35 years or older when the baby is born; couples where the paternal age is 50 years or older; when a pregnancy screening abnormality is noted, including the alpha-fetoprotein. Genetic screening is encouraged where there has been teratogen exposure or risk. Teenage pregnancies or having multiple pregnancies do not qualify for genetic counselling unless the above risks have been identified. A woman comes to the clinic because she has been unable to conceive. When reviewing the woman's history, the nurse would least likely identify which factor as a possible risk? - CORRECT ANSWER-age of 25 years Rationale: Female risk factors for infertility include age older than 27 years, smoking and alcohol consumption, history of chronic illness such as diabetes, and overweight or underweight, which can disrupt hormonal function. A woman has opted to use the basal body temperature method for contraception. The nurse instructs the client that a rise in basal body temperature indicates which event? - CORRECT ANSWER-ovulation Rationale: Basal body temperatures typically rise within a day or two after ovulation and remain elevated for approximately 2 weeks, at which point bleeding usually begins. Basal body temperature is not a means for determining pregnancy. Having intercourse while the temperature is elevated would increase the risk of pregnancy. A woman is diagnosed with a vaginal infection. After teaching the client about measures to reduce her risk, the nurse determines that the client needs additional teaching when she states which factor as increasing her risk? - CORRECT ANSWER-menstruation Rationale: The vagina has an acidic environment, which protects it against ascending infections. Antibiotic therapy, douching, perineal hygiene sprays, and deodorants upset the acid balance within the vaginal environment and can predispose women to infections. Menstruation is not considered a risk factor. During a prenatal visit, a pregnant woman says, "I know the amniotic fluid is important, but can you tell me more about it?" When describing amniotic fluid to a pregnant woman, which description would the nurse most likely include? - CORRECT ANSWER-This fluid acts as a cushion to help to protect your baby from injury Rationale: Amniotic fluid protects the floating embryo and cushions the fetus from trauma. The placenta acts as a transport mechanism for oxygen and nutrients. Amniotic fluid is primarily water with some organic matter. Throughout pregnancy, amniotic fluid volume fluctuates Parents who recently experienced the death of their unborn child ask the nurse, "What is a fetal death?" What is the nurse's best response? - CORRECT ANSWER-Fetal deaths occur later in pregnancy after 20 weeks' gestation Rationale: Fetal death refers to the spontaneous intrauterine death of a fetus at any time during pregnancy. Fetal deaths later in pregnancy (>20 weeks of gestation) are referred to as stillbirths, and deaths earlier than 20 weeks are referred to as a miscarriage. The nurse is explaining fetal circulation to a pregnant woman during an early prenatal visit. The nurse emphasizes the difference in her baby's circulation from the woman's circulation. The nurse determines that the teaching was successful when the woman describes which reason for the difference? - CORRECT ANSWER-Fetal heart rates are rapid and circulation time is double that of adults Rationale: Fetal circulation functions to carry highly oxygenated blood to vital areas first while shunting it away from less vital ones. Fetal blood is not thicker than that of adults. Large volumes of oxygenated blood are not needed because the placenta essentially takes over the functions of the lung and liver during fetal life. Although fetal heart rates normally range from 120 to 160 beats per minute, circulation time is not doubled. The nurse is reviewing the laboratory test results of a client with dysfunctional uterine bleeding (DUB). Which finding would be of concern? - CORRECT ANSWER-hemoglobin level of 10.1 g/dL Rationale: A hemoglobin level of 10.1 g/dL suggests anemia, which might occur secondary to prolonged or heavy menses. A negative pregnancy test, a prothrombin time of 60 seconds, and a serum cholesterol level of 140 mg/dL are within normal parameters. The nurse is working with a group of community health members to develop a plan to address the special health needs of women. The group would design educational programs to address which condition as the priority? - CORRECT ANSWER-Heart disease Rationale: The group needs to address cardiovascular disease, the number one cause of death in women regardless of racial or ethnic group. Smoking is related to heart disease and the development of cancer. However, heart disease and cancer can occur in any woman regardless of her smoking history. Cancer is the second leading cause of death, with women having a one in three lifetime risk of developing cancer. Diabetes is another important health condition that can affect women. However, it is not the major health problem that heart disease is. The nurse working in a maternity clinic suspects that a client and her children are in an abusive relationship. While waiting for test results, the nurse decides to teach the client about partner abuse. What would be the best rationale for the nurse's decision? - CORRECT ANSWER-The nurse understands there is an ethical responsibility to protect clients Rationale: Children exposed to family violence are more likely to be physically, sexually, or emotionally abused themselves. Children have died from abuse and neglect when no one has intervened on their behalf. Children who are exposed to stressors such as domestic violence or who are victims of childhood abuse or neglect are at high risk for short- and long-term problems. Witnessing and being exposed to violence in childhood results in a higher tolerance, and greater use, of violence as an adult. The nurse may feel an ethical responsibility towards clients, but the nurse does not have a legal responsibility to protect clients. Women being the weaker sex is a myth. The nurse would recommend the use of which supplement as a primary prevention strategy to prevent neural tube defects in the future offspring of pregnant women? - CORRECT ANSWER-folic acid Rationale: Prevention of neural tube defects in the offspring of pregnant women via the use of folic acid is an example of a primary prevention strategy. Calcium, vitamin C, and iron have no effect on the prevention of neural tube defects. When assessing a family for possible barriers to health care, the mother reports several problems she has been having when coming to her local clinic. The nurse would consider which reported problem as having the greatest impact on this family's health care? - CORRECT ANSWERTransportation to the clinic Rationale: Financial barriers are one of the most important factors that limit care, with the number of children and families either not having any insurance, not having enough insurance to cover services obtained, or not being able to pay for services. Language, health care workers' attitudes, and transportation are also barriers to health care but are not as fundamentally important as finances. When describing gender determination at a prenatal class, the nurse would include which statement? - CORRECT ANSWER-Gender is determined at fertilization when the ovum is fertilized. Rationale: Gender is determined at fertilization and depends on whether the ovum is fertilized by a Y-bearing sperm or an Xbearing sperm. Approximately half of sperm carry the XX chromosome and the other half carries XY. An XX zygote will become a female and an XY zygote will become a male. X and Y bearing sperm determine the gender. When preparing a teaching plan for a group of women during their first pregnancy, the nurse reviews how maternity care has changed over the years. Which information would the nurse include when discussing events occurring in the 20th century? - CORRECT ANSWER-Development of freestanding birth centers Rationale: In the 20th century (1900s), free-standing birth centers were developed. Puerperal fever epidemics, the first cesarean birth, and X-ray to assess pelvic size were events occurring during the 19th century (1800s). When the nurse is alone with a client, the client says, "It was all my fault. The house was so messy when he got home, and I know he hates that." Which response would be most appropriate? - CORRECT ANSWER-It is not your fault. No one deserves to be hurt Rationale: The nurse needs to communicate nonjudgmental support and explain that no one deserves to be abused. Doing so helps to establish trust and rapport. Asking the woman what she did to make the partner so angry, telling her to clean the house earlier in the day, and telling her that she needs to meet his needs all shift the blame to the victim and are thus inappropriate. Which approach would be most appropriate when counseling a woman who is a suspected victim of violence? - CORRECT ANSWER-Ask, "Have you ever been physically hurt by your partner?" Rationale: If violence is suspected, the nurse must use direct or indirect questions to screen for abuse. Asking the woman if she has ever been physically hurt by her partner is most appropriate. Offering her a pamphlet, calling her at home, or waiting until she returns are inappropriate and do not validate the suspicion. While talking with a pregnant woman who has undergone genetic testing, the woman informs the nurse that her baby will be born with Down syndrome. The nurse understands that Down syndrome is an example of: - CORRECT ANSWERtrisomy numeric abnormality. Rationale: Down syndrome is an example of a chromosomal abnormality involving the number of chromosomes, in particular chromosome 21, in which the individual has three copies of that chromosome. Multifactorial inheritance gives rise to disorders such as cleft lip, congenital heart disease, neural tube defects, and pyloric stenosis. X-linked recessive inheritance is associated with disorders such as hemophilia. Chromosomal deletion is involved with disorders such as cri du chat syndrome. The nurse working in a prenatal clinic recognizes that the primary hormone responsible for sustaining pregnancy is what? - CORRECT ANSWER-progesterone A nurse is providing information regarding ovulation to a couple who want to have a baby. Which should the nurse tell the clients? - CORRECT ANSWER-At ovulation, a mature follicle ruptures, releasing an ovum A client is trying to have a baby and wants to know the best time to have intercourse to increase the chance of pregnancy. Which time for intercourse is ideal to increase her chance of conceiving? - CORRECT ANSWER-One or two days prior to ovulation. A client has been informed that her pregnancy test indicates that she is 3 weeks pregnant. Which instructions should the nurse give the client in regard to her condition? - CORRECT ANSWER-Stop using drugs, alcohol, and tobacco A pregnant client and her husband have had a session with a genetic specialist. What is the role of the nurse after the client has seen a specialist? - CORRECT ANSWER-Review what has been discussed with the specialist. A nurse is obtaining a genetic history of a pregnant client by eliciting historical information about her family members. Which question is the most appropriate for the nurse to ask? - CORRECT ANSWER-"Is there a family history of drinking or drug abuse?" A client reports that she has multiple sex partners and has a lengthy history of carious pelvic infections. She would like to know if there is any temporary contraceptive method that would suit her condition. Which should the nurse suggest for this client? - CORRECT ANSWER-Condoms A nurse is reinforcing teaching with a client who is pregnant and has a new prescription for ferrous sulfate due to irondeficiency anemia. The nurse should instruct the client to take this medication with which of the following? - CORRECT ANSWER-A high-fiber meal Rationale: Fiber interferes with iron absorption A nurse is caring for a client who is being evaluated for endometrial cancer. Which of the following findings should the nurse expect the client to report? - CORRECT ANSWERHot flashes Rationale: The nurse should expect the client to experience abnormal vaginal bleeding, including postmenopausal bleeding and bleeding between normal periods. Abnormal vaginal bleeding is the most common finding in endometrial cancer in premenopausal women. A nurse in a provider's office is collecting data for a 45-yearold client who is having manifestations associated with perimenopause. Which of the following findings should the nurse expect? - CORRECT ANSWER-Report of dryness with vaginal intercourse Rationale: Hot flashes are a classic sign of menopause, but they are related to hormonal changes, not body temperature elevation. A nurse is reinforcing teaching with a client who has genital herpes. Which of the following client statements should the nurse identify as understanding of the teaching? - CORRECT ANSWER-The lesions can spread to other areas of my body Rationale: Herpes simplex lesions can spread through autoinoculation, when a client touches an active lesion then touches another area of the body. Therefore, the nurses should identify this statement as understanding of the teaching. A nurse is reviewing contraception options for four clients. The nurse should identify which of the following clients as having a contraindication to oral contraceptives? - CORRECT ANSWER-A client who has a blood pressure of 140/90 mm Hg Rationale: Oral contraceptives are contraindicated for individuals who have hypertension, especially if it is not controlled by medication. High doses of estrogen and progestin in oral contraceptives are associated with risk for stroke, myocardial infarction, hypertension, and thromboembolism. Clients who have hypertension are already at an increased risk for a thromboembolic event. A nurse is collecting data from a client who requests a prescription for a diaphragm. Which of the following findings should the nurse identify as a contraindication to the client's use of a diaphragm? - CORRECT ANSWER-The client has more than one sex partner. A client comes to the prenatal clinic for her first visit. When determining the client's estimated due date, the nurse understands what which method is the most accurate? - CORRECT ANSWER-Nagele's rule Rationale: Although there are several methods for determining the EDD, the ultrasound is considered the most accurate method for dating the pregnancy. A client is suspected of having a ruptured ectopic pregnancy. Which assessment would the nurse identify as the priority? - CORRECT ANSWER-hemorrhage Rationale: With a ruptured ectopic pregnancy, the woman is at high risk for hemorrhage. Jaundice, edema, and infection are not associated with a ruptured ectopic pregnancy.