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

1 hour following intercourse

Every morning before arising

Before going to bed every night

On days 13 to 17 of her menstrual cycle

Answer and Explanation

The Correct Answer is B

Choice A reason:
Checking basal body temperature 1 hour following intercourse is not recommended as a method to determine ovulation. Intercourse and physical activity can increase body temperature, which may lead to inaccurate readings. Basal body temperature should be measured after a period of rest, not after physical activity.

Choice B reason:
The basal body temperature method involves measuring the body's at-rest temperature to identify slight changes that occur around the time of ovulation. It is most accurate when taken every morning before getting out of bed, after at least 3 hours of uninterrupted sleep, and before any physical activity, including eating or drinking. A slight increase in basal body temperature typically occurs after ovulation and remains elevated until the next menstrual period. This method requires consistency and precise timing to be effective.

Choice C reason:
Measuring basal body temperature before going to bed every night is not an effective way to track ovulation. The body's temperature fluctuates throughout the day due to various factors, including activity levels, meals, and external temperatures. Therefore, nighttime measurements would not provide the consistent, resting temperature needed to accurately detect ovulation.

Choice D reason:
While it is true that ovulation typically occurs around the middle of the menstrual cycle, which for many women is between days 13 to 17, limiting temperature checks to these days only may miss the initial rise in temperature that indicates ovulation. Ovulation can vary from cycle to cycle, and it is important to measure basal body temperature daily to detect the pattern over time.

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Correct Answer is ["A","C","D","E"]

Explanation

Choice a reason:
Washing the perineal area using a squeeze bottle of warm water after each voiding is a recommended practice to reduce the risk of infection. This method gently cleanses without causing irritation and ensures that any bacteria are washed away, which is particularly important after a vaginal delivery when the perineal tissue may be more susceptible to infection.

Choice b reason:
Applying ice packs to the perineal area several times daily can help reduce swelling and provide pain relief, but it is not directly related to reducing the risk of infection. Ice packs should be used as part of pain management and swelling reduction rather than for hygiene purposes.

Choice c reason:
Blotting the perineal area dry after cleansing is important to maintain the integrity of the skin and prevent moisture buildup, which can create an environment conducive to bacterial growth. Patting the area dry gently can help prevent irritation and reduce the risk of infection.

Choice d reason:
Cleaning the perineal area from front to back is a critical practice to prevent the spread of bacteria from the anal area to the vagina and urethra, which can cause urinary tract infections. This technique is especially important postpartum when the perineal area is healing.

Choice e reason:
Performing hand hygiene before and after voiding is a fundamental practice to prevent the introduction of pathogens to the perineal area and reduce the risk of infection. Proper handwashing can significantly decrease the likelihood of perineal infections by ensuring that the hands are clean when they come into contact with sensitive areas.

A. Administer oxygen via face mask. B. Increase the infusion rate of the IV fluid. C. Elevate the client’s legs. D. Position the client on her side.

Correct Answer is D

Explanation

Choice A reason:
Administering oxygen via face mask is a common intervention for late decelerations; however, it is not the first-line action. Oxygen is given to improve fetal oxygenation, but repositioning the mother has a more immediate effect on improving uteroplacental blood flow and, consequently, fetal oxygenation12.

Choice B reason:
Increasing the infusion rate of IV fluid is an intervention used to expand maternal blood volume, which can improve placental perfusion. However, this is not the primary action to be taken when late decelerations are noted, as it may take time for the increased fluid to affect the uteroplacental circulation.

Choice C reason:
Elevating the client’s legs can help increase venous return to the heart, potentially improving uteroplacental circulation. Nonetheless, this is not the most immediate action to take for late decelerations, as it does not directly address the potential compression of the vena cava or aorta.

Choice D reason:
Positioning the client on her side, particularly the left side, is the priority nursing action for late decelerations. This position helps relieve pressure on the inferior vena cava, enhancing maternal cardiac output and increasing blood flow to the placenta, which can quickly improve fetal oxygenation and resolve late decelerations

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A nurse is instructing a female client on how to check her basal body temperature to determine if she 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 nurse is reinforcing teaching about reducing perineal infection with a client following a vaginal delivery. Which of the following should the nurse include in the teaching? (Select all that apply.)

Correct Answer is ["A","C","D","E"]

Explanation

A nurse is caring for a client who is in active labor and notes late decelerations on the fetal monitor. Which of the following is the priority nursing action?

Correct Answer is D

Explanation

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