A nurse is reinforcing teaching with a client about checking her basal temperature to identify when ovulation occurs. The nurse should instruct the client to check her temperature at which of the following times?

Only on days 13 to 17 of her menstrual cycle

1 hr after vaginal intercourse

Immediately after getting into bed at night

Every morning before arising

Answer and Explanation

The Correct Answer is D

Rationale:

A. Checking basal temperature only on days 13 to 17 of the menstrual cycle may miss the window of ovulation, as ovulation can occur at different times in different menstrual cycles. Checking temperature daily provides a more accurate assessment of the basal body temperature pattern throughout the menstrual cycle.

B. Checking basal temperature 1 hour after vaginal intercourse is not a reliable method for identifying ovulation. Basal body temperature should be measured consistently at the same time each morning before engaging in any activities that could affect body temperature, such as intercourse.

C. Checking basal temperature immediately after getting into bed at night may not provide accurate results, as it is essential to measure basal body temperature after a period of rest, ideally during the same time each morning before arising from bed.

D. Checking basal body temperature every morning before arising is the correct instruction for identifying the basal temperature shift that occurs after ovulation. This consistent timing helps to detect the subtle rise in temperature associated with ovulation.

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Correct Answer is C

Explanation

Rationale:

A. Administering the hepatitis B vaccine monthly until the newborn tests negative for the hepatitis B surface antigen is not the recommended protocol for infants born to hepatitis B surface antigen-positive mothers.

B. Administering hepatitis B immune globulin at 1 week followed by the hepatitis B vaccine monthly for 6 months is not the recommended protocol. Hepatitis B immune globulin and the hepatitis B vaccine should be administered within 12 hours of birth.

C. Administering hepatitis immune globulin and the hepatitis B vaccine within 12 hours of birth is the recommended treatment for infants born to hepatitis B surface antigen-positive mothers. This protocol helps to provide passive immunity and stimulate active immunity against hepatitis B virus infection.

D. Administering the hepatitis B vaccine at 24 hours followed by hepatitis B immune globulin every 12 hours for 3 days is not the recommended protocol. The hepatitis B vaccine and hepatitis B immune globulin should be administered within 12 hours of birth to provide optimal protection against hepatitis B virus infection.

A. Facial edema B. Urinary frequency C. Decreased energy D. Mood swings

Correct Answer is A

Explanation

Rationale:

A. Facial edema can be a sign of preeclampsia, a serious complication of pregnancy characterized by high blood pressure and protein in the urine. Prompt notification of the healthcare provider is essential for further evaluation and management.

B. Urinary frequency is common in pregnancy due to hormonal changes and an enlarging uterus but does not typically require immediate notification of the healthcare provider unless accompanied by other concerning symptoms.

C. Decreased energy is a common symptom in early pregnancy and may not necessarily indicate a need for immediate notification of the healthcare provider unless it is severe or accompanied by other symptoms.

D. Mood swings are also common in pregnancy due to hormonal changes and may not require immediate notification of the healthcare provider unless they are severe and significantly affecting the client's well-being.

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A nurse is reinforcing teaching with a client about checking her basal temperature to identify when ovulation occurs. The nurse should instruct the client to check her temperature at which of the following times?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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