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. Rupture of the fetal membranes is a risk associated with pelvic examinations, but in the context of placenta previa, the primary concern is the risk of causing bleeding from the placenta, not necessarily rupture of the fetal membranes.

B. Infection is a potential risk of any invasive procedure, including pelvic examinations, but it is not the primary reason to avoid pelvic examinations in a client with placenta previa.

C. Profound bleeding is the primary reason to avoid pelvic examinations in a client with placenta previa. The placenta is positioned over or near the cervical os, and any manipulation of the cervix can cause significant bleeding due to disruption of the placental vessels.

D. Preterm labor is not directly related to performing a pelvic examination in a client with placenta previa.

A. The hepatitis B vaccine monthly until the newborn tests negative for the hepatitis B surface antigen B. Hepatitis B immune globulin at 1 week followed by the hepatitis B vaccine monthly for 6 months C. Hepatitis immune globulin and the hepatitis B vaccine within 12 hr of birth D. The hepatitis B vaccine at 24 hr followed by hepatitis B immune globulin every 12 hr for 3 days

Correct Answer is C

Explanation

Rationale:

A. Administering the hepatitis B vaccine monthly until the newborn tests negative for the hepatitis B surface antigen is not the recommended protocol for infants born to hepatitis B surface antigen-positive mothers.

B. Administering hepatitis B immune globulin at 1 week followed by the hepatitis B vaccine monthly for 6 months is not the recommended protocol. Hepatitis B immune globulin and the hepatitis B vaccine should be administered within 12 hours of birth.

C. Administering hepatitis immune globulin and the hepatitis B vaccine within 12 hours of birth is the recommended treatment for infants born to hepatitis B surface antigen-positive mothers. This protocol helps to provide passive immunity and stimulate active immunity against hepatitis B virus infection.

D. Administering the hepatitis B vaccine at 24 hours followed by hepatitis B immune globulin every 12 hours for 3 days is not the recommended protocol. The hepatitis B vaccine and hepatitis B immune globulin should be administered within 12 hours of birth to provide optimal protection against hepatitis B virus infection.

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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 assisting with the care of a client who is at 37 weeks of gestation and has placenta previa. Which of the following risks is the primary reason the nurse should avoid performing a pelvic examination?

Correct Answer is C

Explanation

A nurse is caring for a newborn whose mother is positive for the hepatitis B surface antigen.Which of the following treatments should the infant receive?

Correct Answer is C

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?

A nurse is reinforcing teaching about diaphragms with a client. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is reinforcing teaching with a client who is at 6 weeks of gestation. The client tells the nurse that she smokes one pack of cigarettes per day. The nurse should instruct the client that her newborn is at increased risk for which of the following clinical manifestations?

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 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?

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?

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