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. What should these findings indicate to the nurse?
1. Ovulation has occurred.
2. Ovulation will occur soon.
3. Menstruation is about to begin.
4. She is pregnant and will not menstruate.
1
Explanation:
1. 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 (1.0°F) over the past 36 hours.
2. A temperature increase does not occur before ovulation has occurred.
3. A temperature increase does not occur when menstruation is about to begin.
4. Pregnancy can be detected only through testing the urine or serum for the presence of human chorionic gonadotropin hormone.
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