A woman is at 9 weeks of gestation. The nurse would expect to palpate the fundus at which level?
Select one:

Not palpable above the symphysis at this time

5 cm above the umbilicus

At the level of the umbilicus

Slightly above the symphysis pubis

Answer and Explanation

The Correct Answer is A

a.   At 9 weeks of gestation, the uterus is still within the pelvic cavity and not palpable above the symphysis pubis.
b.   The fundus is not expected to be palpable 5 cm above the umbilicus until around 20 weeks of gestation.
c.   The fundus is not expected to be palpable at the level of the umbilicus until around 20 weeks of gestation.

d.   The fundus is not expected to be palpable slightly above the symphysis pubis at 9 weeks of gestation.

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Correct Answer is B

Explanation

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.

A. Select one: B. Bacterial vaginosis C. Trichomoniasis D. Chlamydia E. Candidiasis

Correct Answer is B

Explanation

a. Bacterial vaginosis may present with a vaginal discharge that is often grayish-white with a fishy odor, but it does not typically cause inflammation of the vulva.
b. Trichomoniasis can cause inflammation of the vagina and vulva, along with a frothy, greenish-yellow discharge with a strong fishy odor.
c. Chlamydia may cause vaginal discharge but typically does not present with a strong fishy odor.
d. Candidiasis (yeast infection) may cause inflammation and itching of the vulva, but the discharge is typically white, thick, and cottage cheese-like, not greenish with a fishy odor.

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A woman is at 9 weeks of gestation. The nurse would expect to palpate the fundus at which level? Select one:

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

A 23-year-old college student has come to see the Nurse Practitioner for treatment of a vaginal infection. Physical assessment reveals inflammation of the vagina and vulva. The vaginal discharge is a greenish and strong fishy odor. With which STI are these findings consistent? Select one:

Correct Answer is B

Explanation

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A woman is at 9 weeks of gestation. The nurse would expect to palpate the fundus at which level?
Select one: