he nurse instructs a woman who is attending the infertility clinic about strategies designed to facilitate conception.
Which statement by the patient would indicate that she understands the instructions?

“I ovulate approximately seven days after the first day of my period.”.

“My cervical mucus will appear tacky and cloudy when I am ovulating.”.

“My temperature will increase when I am ovulating.”.

“I can help stimulate ovulation by abdominal massage of my ovaries.”.

Answer and Explanation

The Correct Answer is C

The correct answer is choice C. The woman’s temperature will increase when she is ovulating.This is because ovulation is triggered by a surge of luteinizing hormone (LH), which also causes a slight rise in basal body temperature (BBT). By measuring her BBT every morning before getting out of bed, the woman can detect this subtle change and identify her fertile window.

Choice A is wrong because ovulation typically occurs around 14 days before the next menstrual period, not seven days after the previous one.

The length of the menstrual cycle can vary from woman to woman, so counting days is not a reliable method of predicting ovulation.

Choice B is wrong because cervical mucus will appear clear, slippery and stretchy when the woman is ovulating, not tacky and cloudy.

This type of mucus helps sperm swim and survive in the reproductive tract.

The woman can check her cervical mucus by wiping with toilet paper or inserting a finger into her vagina.

Choice D is wrong because abdominal massage of the ovaries will not stimulate ovulation, and may even cause harm by injuring the delicate tissues or introducing infection.

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Correct Answer is B

Explanation

The correct answer is choice B. Dry off the newborn.This is the priority nursing action because it prevents heat loss and hypothermia in the newborn.

The newborn has a large surface area and a thin layer of subcutaneous fat, making it vulnerable to cold stress.Drying off the newborn also stimulates breathing and crying, which helps clear the airways.

Choice A is wrong because obtaining a serum sample is not a priority action and may cause unnecessary pain and bleeding in the newborn.

Choice C is wrong because assessing the newborn’s Moro reflex is not a priority action and may be done later during the physical examination.Choice D is wrong because obtaining the newborn’s footprints is not a priority action and may be done after the bonding and breastfeeding period.

A. “I should expect a few spots of blood on my underwear because I have more blood in my body now.”. B. “Clear fluid will leak from my vagina if my baby is surrounded by too much water in my womb.”. C. “If I begin to see dark patches on my face, it means that my blood pressure is rising.”. D. “If I feel like I have butterflies in my stomach, it means my baby is moving.”.

Correct Answer is D

Explanation

The correct answer is choice D. If the client feels like she has butterflies in her stomach, it means her baby is moving.

This is a normal and expected change during pregnancy, especially in the second and third trimesters.The baby’s movements can be felt as flutters, kicks, or rolls.

Choice A is wrong because spotting of blood on the underwear is not a normal change during pregnancy.

It can indicate a problem such as placenta previa, placental abruption, or miscarriage.Any bleeding during pregnancy should be reported to the health care provider.

Choice B is wrong because clear fluid leaking from the vagina is not a normal change during pregnancy.

It can indicate that the membranes have ruptured and amniotic fluid is escaping.

This can lead to infection and preterm labor if not treated promptly.Any fluid leakage during pregnancy should be reported to the health care provider.

Choice C is wrong because dark patches on the face are not a sign of high blood pressure during pregnancy.

They are called melasma or chloasma and are caused by increased pigmentation due to hormonal changes.They usually fade after delivery and are not harmful.High blood pressure during pregnancy can cause symptoms such as headache, blurred vision, swelling, and protein in the urine.

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he nurse instructs a woman who is attending the infertility clinic about strategies designed to facilitate conception. Which statement by the patient would indicate that she understands the instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Just after a client delivers a baby who weighs 7 pounds (3.18 kg), what is the priority nursing action?

Correct Answer is B

Explanation

The nurse provides a 16-year-old client with information concerning expected and possible changes during pregnancy. Which statement, if made by the client, would indicate that she understands the information?

Correct Answer is D

Explanation

A 23-year-old primigravida who appears to be in her third trimester of pregnancy comes to the labor and delivery unit reporting acute abdominal pain. She has had no prenatal care. Which assessment should the nurse do first?

During a class for women in the second trimester of pregnancy, the nurse discusses methods to alleviate back pain. Which statement by a class member would indicate the need for additional instruction?

A client in preterm labor tells the nurse, “It’s okay that I am in labor.I’m not worried. My sister’s baby was born this early, and he is doing great.” How should the nurse interpret this statement by the client? The client is:.

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A client who is two weeks postpartum calls the office and tells a nurse, "l am having a small amount of brownish discharge from my vagina." Which response is appropriate for the nurse to make?

The newborn of a patient suspected to have used drugs during the prenatal period is admitted to the nursery.The nurse caring for the newborn notes that the infant is beginning to exhibit signs of drug withdrawal.Which action should the nurse take?

A patient who is 37 weeks pregnant and has gestational diabetes is admitted to the labor and delivery unit for induction. The patient is placed on an external fetal monitor and receives an epidural anesthesia.Which action should the nurse take to identify a potential side effect of the epidural?

he nurse instructs a woman who is attending the infertility clinic about strategies designed to facilitate conception.
Which statement by the patient would indicate that she understands the instructions?