he nurse instructs a woman who is attending the infertility clinic about strategies designed to facilitate conception.
Which statement by the patient would indicate that she understands the instructions?

“I ovulate approximately seven days after the first day of my period.”.

“My cervical mucus will appear tacky and cloudy when I am ovulating.”.

“My temperature will increase when I am ovulating.”.

“I can help stimulate ovulation by abdominal massage of my ovaries.”.

Answer and Explanation

The Correct Answer is C

The correct answer is choice C. The woman’s temperature will increase when she is ovulating.This is because ovulation is triggered by a surge of luteinizing hormone (LH), which also causes a slight rise in basal body temperature (BBT). By measuring her BBT every morning before getting out of bed, the woman can detect this subtle change and identify her fertile window.

Choice A is wrong because ovulation typically occurs around 14 days before the next menstrual period, not seven days after the previous one.

The length of the menstrual cycle can vary from woman to woman, so counting days is not a reliable method of predicting ovulation.

Choice B is wrong because cervical mucus will appear clear, slippery and stretchy when the woman is ovulating, not tacky and cloudy.

This type of mucus helps sperm swim and survive in the reproductive tract.

The woman can check her cervical mucus by wiping with toilet paper or inserting a finger into her vagina.

Choice D is wrong because abdominal massage of the ovaries will not stimulate ovulation, and may even cause harm by injuring the delicate tissues or introducing infection.

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Correct Answer is C

Explanation

The correct answer is choice C. The reason for the patient’s visit at this time.

This information will help the nurse assess the patient’s motivation, readiness, and urgency for contraception.

It will also help the nurse tailor the education and counseling to the patient’s specific needs and preferences.

Choice A is wrong because the amount of sexual experience that the patient has had is not relevant to determine the patient’s knowledge base.

It may also make the patient feel uncomfortable or judged.

Choice B is wrong because the type of contraceptive that the patient’s friends are using is not a reliable source of information.

Different methods may have different advantages and disadvantages for different people.

The nurse should provide evidence-based information and guidance on various options.

Choice D is wrong because the method of contraception that the patient believes will provide protection from sexually transmitted diseases may not be accurate or effective.

A. Provide the client with an abdominal binder. B. Provide a rocking chair at the client’s bedside. C. Keep the head of the client’s bed flat for six hours. D. Encourage the client to drink cold, carbonated fluids throughout the day.

Correct Answer is D

Explanation

The correct answer is choice D. Encourage the client to drink cold, carbonated fluids throughout the day.This helps to relieve the shoulder pain caused by the carbon dioxide gas used to inflate the abdomen during laparoscopy.

The gas irritates the diaphragm, which refers pain to the shoulder.Drinking cold, carbonated fluids can help expel the gas and reduce the pain.

Choice A is wrong because an abdominal binder is not necessary for a laparoscopic procedure.It is more commonly used for abdominal surgeries that involve a large incision.

Choice B is wrong because a rocking chair is not helpful for a client who had a laparoscopic BTL.It is more useful for a client who had a vaginal delivery to promote comfort and uterine involution.

Choice C is wrong because keeping the head of the bed flat for six hours is not indicated for a laparoscopic BTL.It may increase the risk of venous thromboembolism and pulmonary embolism due to prolonged immobility.The client should be encouraged to ambulate as soon as possible after surgery.

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he nurse instructs a woman who is attending the infertility clinic about strategies designed to facilitate conception. Which statement by the patient would indicate that she understands the instructions?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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he nurse instructs a woman who is attending the infertility clinic about strategies designed to facilitate conception.
Which statement by the patient would indicate that she understands the instructions?