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The client asks the nurse how a woman can recognize when she is ovulating.
Which should be the nurse's responses? (Select all that Apply)

Basal body temperature drops slightly for 24-48 hours.

Luteinizing hormone increases immediately after.

Vaginal acidity decreases.

Libido rises at this time.

Answer and Explanation

Correct Answer : A,B,D

Choice A rationale

Basal body temperature drops slightly for 24-48 hours before ovulation, indicating the most fertile period.

Choice B rationale

Luteinizing hormone surges just before ovulation, triggering the release of an egg from the ovary.

Choice C rationale

Vaginal acidity does not significantly decrease during ovulation; it remains relatively constant.

Choice D rationale

Libido often rises during ovulation due to hormonal changes, which can increase the chances of conception.

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

Explanation

Choice A rationale

Rubella vaccination is contraindicated during pregnancy due to the risk of congenital rubella syndrome in the fetus. It should be administered postpartum if the client is non-immune.

Choice B rationale

Preterm labor is a concern at 28 weeks' gestation. Educating the client on signs and symptoms can help in early detection and management, potentially improving outcomes for both mother and baby.

Choice C rationale

Rh-negative mothers with a negative antibody screen should receive Rhogam at 28 weeks to prevent Rh sensitization. This is crucial to avoid hemolytic disease of the newborn in future pregnancies.

Choice D rationale

A positive urine analysis for leukocytes indicates a possible urinary tract infection. A clean catch urine culture is needed to identify the causative organism and guide appropriate antibiotic therapy.

Choice E rationale

The glucose challenge test result of 120 at 26 weeks is within normal limits, but a 3-hour diagnostic glucose tolerance test may be ordered if there's a high index of suspicion for gestational diabetes or other risk factors.

Choice F rationale

A blood transfusion is not indicated as the hemoglobin/hematocrit levels (11.0 mg/dl and 35%) are within acceptable limits for pregnancy.

A. The fourth week of gestation. B. The sixth week of gestation. C. The seventh week of gestation. D. The twelfth week of gestation.

Correct Answer is D

Explanation

Choice A rationale

The fetal heartbeat can be heard with a Doppler at the fourth week of gestation is incorrect. At this early stage, the embryonic heart has only just begun to form, and its activity cannot be detected by Doppler.

Choice B rationale

The fetal heartbeat can be heard with a Doppler at the sixth week of gestation is incorrect. Although the heart begins to beat around this time, it is usually too faint to be detected by Doppler.

Choice C rationale

The fetal heartbeat can be heard with a Doppler at the seventh week of gestation is incorrect. It remains challenging to detect the fetal heartbeat this early with standard Doppler equipment.

Choice D rationale

The fetal heartbeat can be heard with a Doppler at the twelfth week of gestation is correct. By the end of the first trimester, the fetal heart is sufficiently developed and strong enough to be detected using Doppler ultrasound, allowing healthcare providers to monitor fetal well-being.

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The client asks the nurse how a woman can recognize when she is ovulating.Which should be the nurse's responses? (Select all that Apply)

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Naxlex Comprehensive Predictor Exams

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

Explanation

At her first prenatal visit, a woman and the nurse are discussing fetal development.The client asks, "When will we be able to hear the baby's heartbeat?" The nurse should reply, The fetal heartbeat can be heard with a Doppler at:

Correct Answer is D

Explanation

You, the RN, assess a client who is in the 32nd week of pregnancy.She fell and punctured her leg with a nail.She states she has not had a tetanus immunization since infancy.Which action will you include in her plan of care?

The nurse is assessing a woman in early labor.While positioning her for a vaginal exam, she complains of dizziness and nausea and appears pale.Her blood pressure has dropped slightly.What is the appropriate initial nursing action?

A nurse in a prenatal clinic is completing a skin assessment of a client who is in the third trimester.Which of the following findings should the nurse expect?

A nurse is caring for an antepartum client whose laboratory findings indicate a rubella titer of 1:15. Which of the following is the correct interpretation of this data?

A newborn who weighs 3900 grams is to receive 25mg/kg of Augmentin (Amoxicillin Clavulanate Potassium) q 24 hours. The supply on hand is 125mg/5mL. How many ml will the newborn receive in 24 hours? (Write in your answer).

A nurse is caring for a client during an initial prenatal visit.The client's last menstrual period was 18 weeks ago.Which of the following actions should the nurse plan to take?

A nurse is speaking with a client who is 6 weeks' gestation.The client tells the nurse that she smokes one pack per day, but is trying to quit.The nurse should explain that newborns born to women who smoke are at risk for:

A pregnant patient enjoys exercising at a local health spa once a week.Which patient comment indicates to the nurse that more health teaching is needed?

The client asks the nurse how a woman can recognize when she is ovulating.
Which should be the nurse's responses? (Select all that Apply)