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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale

Moderate exercise improves circulation. This statement is accurate and should be included in the teaching. Regular moderate exercise during pregnancy can have many benefits, including improved circulation, which can help reduce swelling and varicose veins. It can also help manage weight gain, improve mood and energy levels, reduce pregnancy discomfort, prepare the body for labor, and boost stamina for labor and delivery.

Choice B rationale

Refrain from exercises that include stretching. This statement is not accurate and should not be included in the teaching. Stretching exercises can be beneficial during pregnancy. They can help improve flexibility, reduce muscle tension, alleviate pregnancy discomfort, and prevent muscle imbalances. However, pregnant women should be careful not to stretch too far, as the hormones produced during pregnancy can make the ligaments more flexible and easier to stretch, increasing the risk of injuries.

Choice C rationale

It is recommended to rest for 30 minutes before each new exercise. This statement is not accurate and should not be included in the teaching. While it’s important for pregnant women to rest and avoid overexertion, there’s no specific recommendation to rest for 30 minutes before each new exercise. Instead, pregnant women should listen to their bodies and rest as needed.

Choice D rationale

It is recommended to increase your weight-bearing exercises. This statement is not accurate and should not be included in the teaching. While weight-bearing exercises can be beneficial, they should be done with caution during pregnancy. Pregnant women should avoid heavy weights and exercises that put pressure on the joints, increase the risk of injury, or cause discomfort. Instead, they should focus on exercises that strengthen the muscles and improve balance and flexibility.

A. Hearing loss B. Type 1 diabetes mellitus C. Congenital heart defects D. Intrauterine growth restriction .

Correct Answer is D

Explanation

Choice A rationale

While smoking during pregnancy can have many negative effects on a baby’s health, it is not specifically linked to hearing loss.

Choice B rationale

Type 1 diabetes mellitus is not caused by maternal smoking. It is an autoimmune condition where the body’s immune system destroys the cells that release insulin.

Choice C rationale

Congenital heart defects can have many causes, including genetic factors and certain maternal health conditions. However, they are not specifically linked to maternal smoking.

Choice D rationale

Smoking during pregnancy can cause intrauterine growth restriction. This is because nicotine and other harmful chemicals in cigarettes can cross the placenta and interfere with the baby’s blood supply. This can limit the amount of oxygen and nutrients the baby receives, leading to slower growth. Placental abruptionPlacental abruption Explore

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a group of clients who are in their first trimester about exercise during pregnancy.Which statement should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is completing a health history for a client who is at 6 weeks of gestation.The client informs the nurse that she smokes one pack of cigarettes per day.The nurse should advise the client that smoking places the client’s newborn at risk for which of the following complications?

Correct Answer is D

Explanation

A nurse is providing teaching to a client who is pregnant and has phenylketonuria (PKU). Which of the following foods should the nurse instruct the client to eliminate from her diet?

A nurse in a prenatal clinic overhears a newly licensed nurse discussing conception with a client.Which of the following statements by the newly licensed nurse requires intervention by the nurse?

A nurse is providing care to a client in her first trimester of pregnancy.The client inquires if she can maintain her exercise regimen during pregnancy.What would be the nurse’s most appropriate response?

A nurse in a college health clinic is speaking to a group of adolescents about toxic shock syndrome (TSS). Which of the following should the nurse include in the teaching as increasing the risk for contracting TSS?

A nurse is reviewing the health history of a client who has a new prescription for a combined oral contraceptive (COC). The nurse recognizes that which of the following client medications can interfere with the effectiveness of the COC?

A nurse in a prenatal clinic is instructing a client about an amniocentesis, which is scheduled at 15 weeks of gestation.Which of the following should be included in the teaching?

A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation.The client reports urinary frequency and asks if this will continue until delivery.Which of the following responses should the nurse make?