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 C

Explanation

Rationale:

A. This statement demonstrates understanding that gestational diabetes increases the risk of developing type 2 diabetes in the future, indicating appropriate knowledge.

B. Limiting carbohydrates to 50% of daily caloric intake is a common dietary recommendation for managing gestational diabetes, indicating appropriate knowledge.

C. Reducing the exercise schedule to 3 days a week is not recommended for managing gestational diabetes. Exercise is an important component of diabetes management, as it helps control blood sugar levels. Therefore, this statement indicates a need for further teaching.

D. Taking glyburide daily with breakfast is a common medication regimen for managing gestational diabetes, indicating appropriate knowledge.

A. The client will be asked to stimulate her nipples for 5 min during the test. B. An external fetal monitor will be used to monitor the FHR. C. An IV will be initiated prior to the test. D. The client will receive an ultrasound prior to the test.

Correct Answer is B

Explanation

Rationale:

A. Stimulating nipples is not typically part of a nonstress test procedure.

B. An external fetal monitor will be used to monitor the fetal heart rate (FHR) during the nonstress test. This is the main purpose of the test, to assess the fetal heart rate in response to fetal movement.

C. An IV is not typically initiated for a nonstress test unless there are specific medical indications.

D. An ultrasound is not typically performed prior to a nonstress test unless additional fetal assessment is needed. The nonstress test primarily involves monitoring the fetal heart rate using an external fetal monitor.

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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 in her second trimester and has a new diagnosis of gestational diabetes. Which of the following statements by the client indicates a need for further teaching?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client who is scheduled for a nonstress test. Which of the following information should the nurse include?

Correct Answer is B

Explanation

A nurse is caring for a client who is pregnant and reports constipation. Which of the following recommendations should the nurse make?

A nurse is speaking on the phone to a client who is pregnant and taking iron supplements for iron-deficiency anemia. The client reports that her stools are black but she has no abdominal pain or cramping. Which of the following responses by the nurse is appropriate?

A nurse is admitting a client who is at 36 weeks gestation and has painless, bright red vaginal bleeding. The nurse recognizes this finding as an indication of which of the following conditions?

A nurse is preparing to administer acetaminophen 650 mg PO to a client. The amount available is acetaminophen 325 mg/tablet. How many tablets should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)

A nurse is reinforcing teaching about appropriate exercises during pregnancy with a client who is at 24 weeks of gestation. Which of the following statements indicates a need for additional teaching?

A nurse is reinforcing teaching about nutritional needs with a client who is pregnant. Which of the following nutrients should the nurse instruct the client to increase during pregnancy?

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?

A nurse is assisting with a community program to educate adolescents about contraception.After the class, a 15-year-old girl asks the nurse which method is best for her to use. Which of the following statements is an appropriate nursing response?