A woman is using the basal body temperature (BBT) method of contraception. She calls the clinic and tells the nurse. "My period is due in a few days, and my temperature has not gone up." The nurse's most appropriate response is
"This probably means that you're pregnant."
"You probably didn't ovulate during this cycle."
"Have you been sick this month?"
"Don't worry: it's probably nothing."
The Correct Answer is B
A. "This probably means that you're pregnant.": A rise in basal body temperature occurs after ovulation due to progesterone release, not pregnancy itself. If temperature has not increased, ovulation likely did not occur, making pregnancy improbable in this cycle.
B. "You probably didn't ovulate during this cycle.": The BBT method tracks ovulation by detecting a 0.3–0.6°C (0.5–1.0°F) temperature rise after ovulation. If no rise is noted before menstruation, it suggests an anovulatory cycle in which ovulation did not take place.
C. "Have you been sick this month?": Illness can temporarily affect BBT readings, but the absence of any rise throughout the cycle more strongly indicates lack of ovulation. Asking about illness may be useful but does not directly explain a consistently low temperature pattern.
D. "Don't worry: it's probably nothing.": Dismissing the concern is inappropriate and nontherapeutic. The nurse should provide education on possible anovulatory cycles and encourage continued charting or further evaluation if irregular patterns persist.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Notify the healthcare provider, as this finding may be associated with congenital anomalies: Two arteries and one vein represent the normal anatomy of the umbilical cord. Notification is unnecessary unless only one artery (a single umbilical artery) is present, which could indicate possible congenital anomalies.
B. Document the finding as normal and continue with routine newborn care: The normal umbilical cord structure consists of two arteries that carry deoxygenated blood from the fetus and one vein that returns oxygenated blood to the fetus. This finding confirms a normal cord and requires no additional interventions beyond standard care.
C. Apply warm compresses to the cord to promote circulation: The umbilical cord no longer functions in circulation after birth. Applying warm compresses would serve no purpose and could introduce unnecessary risk of infection or injury to the cord stump.
D. Document the finding as abnormal and continue with routine newborn care: Labeling a normal finding as abnormal could lead to confusion in medical records and unnecessary evaluations. Proper documentation should accurately reflect the expected normal anatomy of two arteries and one vein.
Correct Answer is ["On her left side"]
Explanation
Sleeping on the left side enhances venous return and optimizes uteroplacental blood flow by preventing compression of the inferior vena cava and aorta by the gravid uterus. This position promotes better oxygen and nutrient delivery to the fetus while reducing maternal hypotension, dizziness, and edema. Supine or right-side sleeping can impair circulation, leading to decreased cardiac output and fetal perfusion, especially in later pregnancy.
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