A nurse is instructing a female client about how to check the basal temperature in order to determine if the client is ovulating. The nurse should instruct the client to check her temperature at which of the following times?

On the day 14 of her menstrual cycle

Every morning before arising

2 hours following intercourse

At noon after lunch

Answer and Explanation

The Correct Answer is B

a. Not every woman ovulates on day 14 of her cycle, and the basal temperature only rises after ovulation, not before.
b. The basal temperature is the lowest body temperature during a 24-hour period.

It is usually measured first thing in the morning before any physical activity or eating. The basal temperature can indicate when a woman is ovulating, as it tends to rise slightly (about 0.5°F or 0.3°C) after ovulation and remain elevated until the next menstrual period. By tracking the basal temperature over several cycles, a woman can identify her most fertile days and plan accordingly.
c. Intercourse can affect the body temperature and give a false reading.

d. The basal temperature is influenced by factors such as food, drink, stress, and activity, so it should be measured before any of these occur.

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Correct Answer is B

Explanation

a. This does not follow the Nagele's rule.

b. Nagele's rule is a method to estimate the expected delivery date by adding 7 days and subtracting 3 months from the first day of the last normal menstrual period. In this case, adding 7 days to March 13 gives March 20, and subtracting 3 months gives December 20. Then, adding one year gives December 20, 2022.
c. This does not follow the Nagele's rule.

d. This does not follow the Nagele's rule.

A. The cervix is dilated 2 cm, it is effaced 80%, and the presenting part is 2 inches below the ischial spines. B. The cervix is 2 cm dilated, it is effaced 80%, and the presenting part is 2 cm above the ischial spines. C. The cervix is dilated 2 cm, it is effaced 80%, and the presenting part is 2 cm below the ischial spines. D. The cervix is effaced 2 cm, it is dilated 80%, and the presenting part is 2 cm above the ischial spines.

Correct Answer is C

Explanation

a. This is an incorrect interpretation of the assessment.
b. This is an incorrect interpretation of the assessment.
c. This is the correct interpretation of the assessment indicating that the labor is progressing well and the baby is descending into the pelvis.
d. This is an incorrect interpretation of the assessment.

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A nurse is instructing a female client about how to check the basal temperature in order to determine if the client is ovulating. The nurse should instruct the client to check her temperature at which of the following times?

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Naxlex Comprehensive Predictor Exams

A woman reports that her last normal menstrual period began on March 13, 2022. What is this woman's expected delivery date using Nagele's rule? Select one:

Correct Answer is B

Explanation

The nurse has received a report regarding her patient in labor. The woman's last vaginal examination was recorded as 2 cm, 80%, and +2. The nurse's interpretation of this assessment is that: Select one:

Correct Answer is C

Explanation

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