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 what?

Correct Answer: C

Rationale: Mittelschmerz, or mid-cycle pain, combined with a basal temperature rise and cervical mucus changes, is a sign that ovulation has occurred. These indicators are part of the body's natural fertility signals.

Correct Answer: B

Rationale: Foul-smelling lochia may indicate an infection and requires prompt medical evaluation.

Correct Answer: B

Rationale: A fetal heart rate of 180 bpm may indicate fetal distress and warrants immediate HCP notification.

Correct Answer: A

Rationale: When assessing the fetal heart rate in a client who is 14 weeks of gestation, the nurse should place the Doppler device at the midline 2 to 3 cm above the symphysis pubis. This is the appropriate location for detecting the fetal heartbeat at this gestational age. Placing the Doppler device too high on the abdomen may result in difficulty in detecting the fetal heart rate due to the position of the uterus and fetal size. Placing it too low may not capture the fetal heartbeat accurately. Therefore, the midline location above the symphysis pubis provides the best chance for accurate assessment of the fetal heart rate at 14 weeks of gestation.

Correct Answer: A

Rationale: Repositioning improves blood flow and oxygen delivery to the fetus during late decelerations.