A woman is experiencing mittelschmerz and increased vaginal discharge. Her temperature has increased by 0.6°C (1.0°F) over 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.
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 for the past 36 hours.
Rationale 4: Pregnancy can only be detected through testing the urine for the presence of human chorionic gonadotropin hormone.
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Which of the following led to school nurses moving beyond the role of screening, assessment, intervention, and exclusion of children for communicable diseases?
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1. a reflexive movement. 2. a return of motor function. 3. an early symptom of autonomic dysreflexia. 4. a result of hypertonicity of the muscle.
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a. Using humidification b. Applying petroleum-based gel to the nares c. Providing frequent oral care d. Asking the physician for an order for sterile nasal saline