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 B

Explanation

Rationale:

A. Maternal battering, while a serious issue, is not typically cited as a common risk factor for placental abruption.

B. Maternal hypertension is the most common risk factor for placental abruption. Hypertensive disorders such as preeclampsia and chronic hypertension are associated with an increased risk of placental abruption due to the impact of high blood pressure on the placental vasculature.

C. Maternal cocaine use is a risk factor for placental abruption, but it is not as common as maternal hypertension.

D. Maternal cigarette smoking is also a risk factor for placental abruption, but it is not as common as maternal hypertension.

A. This test will screen for fetal maturity. B. This test will screen for ABO incompatibility. C. This test will screen for gestational diabetes. D. This test will screen for neural tube defects.

Correct Answer is D

Explanation

Rationale:

A. Maternal serum alpha-fetoprotein (MSAFP) determination is not used to screen for fetal maturity.

B. ABO incompatibility is typically detected through other blood tests, such as blood typing and antibody screening, not MSAFP determination.

C. Gestational diabetes screening is typically done through glucose tolerance tests or other blood tests specific to glucose levels, not MSAFP determination.

D. Maternal serum alpha-fetoprotein (MSAFP) determination is a screening test used to detect neural tube defects and certain chromosomal abnormalities in the fetus. High levels of AFP may indicate a neural tube defect, such as spina bifida or anencephaly.

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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

A nurse is reinforcing teaching with a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse recognizes that which of the following is the most common risk factor for a placental abruption?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a client who is at 17 weeks of gestation and is scheduled to have a maternal serum alpha-fetoprotein (MSAFP) determination. Which of the following information should the nurse include?

Correct Answer is D

Explanation

A nurse is caring for a client who is at 20 weeks of gestation and tells the nurse that she is concerned that exercising might pose risks to her pregnancy. Which of the following statements should the nurse make?

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A nurse is preparing to administer amoxicillin 350 mg PO. Available is amoxicillin 250 mg/5 mL. How many ml should the nurse administer? (Round to the nearest whole number.)

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