A woman is experiencing mittelschmerz and increased vaginal discharge. Her temperature has increased by 0.6ºC (1.0ºF) 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 or before ovulation has occurred.
2. A temperature increase does not occur when menstruation is about to begin or before ovulation has occurred.
3. Signs that ovulation has occurred include pain associated with rupture of the ovum (mittelschmerz), increased vaginal discharge, and a temperature increase of 0.6ºC for the past 36 hours.
4. She is pregnant, and will not menstruate is incorrect because this can only be detected through testing the urine for the presence of human chorionic gonadotropin hormone.
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