A client arrives for her first prenatal appointment.

Exhibits

What is the correct way for the nurse to document the GTPAL for this client?

G5 T2 P1 A1 L3

G4 T2 P1 A1 L4

G5 T1 P2 A1 L4

G4 T1 P2 A1 L3

Answer and Explanation

The Correct Answer is B

G: 4 pregnancies (2017 spontaneous abortion, 2018 twins with one demise, 2020 NSVD, and the current pregnancy)
T: 2 term births (2020 and 2022)
P: 1 preterm birth
A: 1 abortion/miscarriage (2017 spontaneous abortion)
L: 4 living children (twins from 2018 and the child born in 2020)

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Correct Answer is C

Explanation

A. Review clotting studies lab report: Not relevant to the assessment finding of a blue-gray discoloration.
B. Notify the healthcare provider: Unnecessary unless there are other concerning clinical findings.
C. Document the findings in the electronic health record: A blue-gray discoloration across the sacrum is likely a Mongolian spot, a benign condition more commonly seen in infants of Asian, African, Native American, and Hispanic descent. Documenting this finding in the electronic health record ensures accurate and comprehensive medical documentation without unnecessary interventions.
D. Report parents to Child Protective Services: Inappropriate as this finding is a benign condition common among certain ethnic groups and not indicative of abuse.

A. Keep the newborn in a well-lit nursery. B. Cluster the newborn's care activities. C. Position the newborn to promote extension of muscles. D. Use fingertips when calming the newborn.

Correct Answer is C

Explanation

A. Keep the newborn in a well-lit nursery: A well-lit nursery can overstimulate a preterm newborn. Preterm infants benefit more from a dim, quiet environment that mimics the womb.
B. Cluster the newborn's care activities: This helps minimize disruptions to the newborn’s rest periods, which is crucial for their growth and neurodevelopment. Clustering care reduces stress and promotes better sleep cycles.
C. Position the newborn to promote extension of muscles: Preterm infants generally benefit from a flexed position, which is more comforting and developmentally appropriate, rather than promoting muscle extension.
D. Use fingertips when calming the newborn: Using fingertips might be too stimulating for a preterm newborn. Instead, a gentle, whole-hand touch is often more comforting and less likely to cause overstimulation.

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A client arrives for her first prenatal appointment. Exhibits What is the correct way for the nurse to document the GTPAL for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When performing an initial assessment on a full-term infant whose parents are Asian, the nurse notes a blue-gray discoloration across the sacrum of the newborn. What is the most appropriate action for the nurse to take?

Correct Answer is C

Explanation

A nurse is planning care for a preterm newborn. Which of the following nursing interventions to promote development should be included in the plan of care?

Correct Answer is C

Explanation

The nurse is caring for a newborn born at 31 weeks' gestation. Which assessment finding should the nurse anticipate?

You are the nurse caring for an infant with an order to receive Amoxicillin (Amoxil) orally every 6 hours. The safe medication dose is 50mg/kg/day in divided doses. The infant weighs 6 kgs. How much medication will you administer to the infant each dose?

The nurse is caring for a laboring client who presents with ruptured membranes, frequent contractions, and bloody show. Which intervention should be performed first?

A nurse is discussing postpartum depression with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of this condition?

An antenatal client at 32 weeks' gestation has been admitted to the hospital with premature rupture of membranes. She is not exhibiting any signs of labor. What is the priority nursing intervention for this client?

Which of the following factors would the nurse identify as risk factors for abuse in children? (Select All that Apply.)

Which assessment findings would alert the nurse to an infant or child in heart failure? (Select All that Apply.)

A nurse is assessing the fundus of a postpartum patient one day after delivery and notes that the fundus is soft and spongy. Which is the first nursing intervention to preform?

A client arrives for her first prenatal appointment.

Exhibits

What is the correct way for the nurse to document the GTPAL for this client?