Question 1

At what gestational age is a fetus considered full-term?

Accepted Answer

39 to 40 weeks gestation is considered full-term. Infants born at 37–38 weeks are early term, and those born at 41–42 weeks are late term.

Question 2

What is Nagele's Rule used to calculate, and what is the formula?

Accepted Answer

Nagele's Rule estimates the estimated date of delivery (EDD). The formula is: First day of LMP minus 3 months plus 7 days plus 1 year.

Question 3

What does a fundal height measurement of 20 cm indicate about gestational age?

Accepted Answer

A fundal height of 20 cm correlates with approximately 20 weeks gestation. After 20 weeks, fundal height in centimeters roughly equals gestational age in weeks (±2 cm).

Question 4

A pregnant client has a blood pressure of 148/96 mmHg at 28 weeks with 2+ proteinuria and no prior hypertension. Which condition does this indicate?

Accepted Answer

This indicates preeclampsia, defined as new-onset hypertension (≥140/90 mmHg) after 20 weeks gestation with proteinuria or other end-organ damage.

Question 5

What is the priority nursing intervention when a client with preeclampsia develops a tonic-clonic seizure (eclampsia)?

Accepted Answer

The priority intervention is to ensure a patent airway and protect the client from injury. Administer magnesium sulfate as ordered and position the client on her left side after the seizure.

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