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?
On the day 14 of her menstrual cycle
Every morning before arising
2 hours following intercourse
At noon after lunch
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a. This would help determine the location of the placenta and whether placenta previa is present, which can cause painless vaginal bleeding.
b. This is not typically done for diagnosis of painless vaginal bleeding.
c. While an abdominal ultrasound can also determine the location of the placenta, a vaginal ultrasound is more accurate for this purpose.
d. This is not typically done for diagnosis of painless vaginal bleeding.
Correct Answer is C
Explanation
a. This is not where fetal heart tones are typically auscultated.
b. This is not where fetal heart tones are typically auscultated.
c. The round, firm, moveable part in the fundus of the uterus is most likely the fetal head, and the long, smooth surface on the right side is most likely the fetal back. The fetal heart tones are best heard over the fetal back, which is closest to the maternal abdomen. Therefore, the nurse should expect to auscultate fetal heart tones in the right upper quadrant.
d. This is not where fetal heart tones are typically auscultated.
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