A woman is experiencing mittelschmerz and increased vaginal discharge. Her temperature has increased by 0.6°C (1.0° F) for the past 36 hours. This most likely indicates that:
1. Menstruation is about to begin.
2. Ovulation will occur soon.
3. Ovulation has occurred.
4. She is pregnant and will not menstruate.
Correct Answer: 3
Rationale 1: A temperature increase does not occur when menstruation is about to begin.
Rationale 2: A temperature increase does not occur before ovulation has occurred.
Rationale 3: Signs that ovulation has occurred include: pain associated with rupture of the ovum (mittelschmerz), increased vaginal discharge, and a temperature increase of 0.6°C over the past 36 hours.
Rationale 4: Pregnancy can be detected only through testing the urine or serum for the presence of human chorionic gonadotropin hormone.
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