A nurse in a prenatal clinic is examining the health record of a client who is 28 weeks pregnant.
The history includes one pregnancy terminated by elective abortion at 9 weeks, the birth of twins at 36 weeks, and a spontaneous abortion at 15 weeks.
According to the GTPAL system, how would you describe the client’s current status?
2-0-2-2-0
4-2-0-2-2
4-0-1-2-2
3-0-2-0-2
The Correct Answer is C
GTPAL calculation:
Step 1 is: Determine Gravida (G) = 4 pregnancies (1 elective abortion, 1 twin birth, 1 spontaneous abortion, 1 current pregnancy) = G4.
Step 2 is: Determine Term (T) births = 0 (no pregnancies reached 37 weeks).
Step 3 is: Determine Preterm (P) births = 1 (twin birth at 36 weeks) = P1.
Step 4 is: Determine Abortion (A) = 2 (1 elective abortion at 9 weeks, 1 spontaneous abortion at 15 weeks) = A2.
Step 5 is: Determine Living (L) children = 2 (twins) = L2.
The GTPAL status is: G4 T0 P1 A2 L2.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is B. Evidence-based practice. Sharing the latest research on improving breastfeeding success for first-time mothers supports the Quality and Safety Education for Nurses competency of Evidence-based practice. This competency emphasizes the use of current evidence in making decisions about the care of individual patients or delivery of health services.
Correct Answer is B
Explanation
Choice A rationale
The symptoms described do not typically align with conditions that would be treated with Prescription A. Prescription A might be used for a different set of symptoms or conditions.
Choice B rationale
The presence of small pinpoint open vesicles and pustules on the labia majora with clear drainage, along with a thick, mucopurulent vaginal discharge, could indicate a sexually transmitted infection or other type of infection. Prescription B might be an antibiotic or antiviral medication to treat the suspected infection.
Choice C rationale
The symptoms described do not typically align with conditions that would be treated with Prescription C. Prescription C might be used for a different set of symptoms or conditions.
Choice D rationale
The symptoms described do not typically align with conditions that would be treated with Prescription D. Prescription D might be used for a different set of symptoms or conditions.
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