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 D
Explanation
The correct answer is D. Slightly above the umbilicus. At about 20 weeks of pregnancy, the fundus of the uterus is usually at the level of the umbilicus. By 22 weeks, the fundus is typically slightly above the umbilicus.
Correct Answer is ["A","B","E"]
Explanation
Choice A rationale
Chloasma. Also known as melasma or the “mask of pregnancy,” chloasma is a common skin change during pregnancy. It appears as dark, irregular patches on the face19.
Choice B rationale
Linea nigra. This is a dark line that runs from the belly button to the pubic hair. It is another common skin change during pregnancy19.
Choice C rationale
Eczema. While some women may experience a worsening of eczema symptoms during pregnancy, it’s not a skin change that’s specifically associated with pregnancy19.
Choice D rationale
Psoriasis. Like eczema, psoriasis is not a skin change that’s specifically associated with pregnancy. Some women may see their psoriasis improve during pregnancy, while others may see it get worse19.
Choice E rationale
Striae gravidarum. Also known as stretch marks, these are another common skin change during pregnancy. They appear as pink, red, or purple streaks on the skin19.
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