A nurse is reinforcing teaching with a client who is pregnant about a biophysical profile (BPP). Which of the following key elements are included in a BPP and should be included in the teaching? (Select All that Apply.)

Fetal weight

Fetal urine

Fetal tone

Fetal position

Fetal movement

Fetal breathing

Answer and Explanation

Correct Answer : C,E,F

A. Fetal weight – Not included in a BPP; estimated fetal weight is assessed separately.
B. Fetal urine – Not a direct component of the BPP; however, amniotic fluid volume is assessed, which indirectly reflects fetal kidney function.
C. Fetal tone – Included in the BPP; assesses fetal flexion and extension.
D. Fetal position – Not part of the BPP; fetal positioning is evaluated in general obstetric ultrasounds.
E. Fetal movement – Included in the BPP; measures gross body movements as an indicator of fetal well-being.
F. Fetal breathing – Included in the BPP; evaluates fetal respiratory movements, which indicate neurological function.

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Correct Answer is D

Explanation

A. G2 T1 P1 A1 L0 – Incorrect; does not include the current pregnancy.

B. G2 T0 P1 A1 L1 – Incorrect; does not include current pregnancy and incorrectly counts a living child.

C. G3 T0 P1 A1 L1 – Incorrect; incorrectly counts a living child.

D. G3 T0 P1 A1 L0 – Correct; accurately represents her pregnancy history.

A. G4 T2 P1 A0 L5 B. G4 T2 P2 A1 L5 C. G4 T1 P4 A1 L4 D. G4 T1 P1 A0 L4

Correct Answer is A

Explanation

A. Gravidity (G): The total number of pregnancies, including the current one. She has had 3 prior pregnancies and is currently pregnant, making her G4. Term (T): Number of term births (37 weeks or later). She has had two sets of twins delivered at 37 and 38 weeks, so T2. Preterm (P): Number of preterm births (between 20 and 36 weeks 6 days). She has one son born at 34 weeks, so P1. Abortions (A): Number of pregnancies ending in miscarriage or abortion before 20 weeks. She has no history of miscarriage or abortion, so A0. Living (L): Number of living children. She has two sets of twins (4 children) and her 9-year-old son (1 child), making a total of L5.
B. Gravidity (G): The total number of pregnancies, including the current one. She has had 3 prior pregnancies and is currently pregnant, making her G4. Term (T): Number of term births (37 weeks or later). She has had two sets of twins delivered at 37 and 38 weeks, so T2. Preterm (P): Number of preterm births (between 20 and 36 weeks 6 days). She has one son born at 34 weeks, so P1. Abortions (A): Number of pregnancies ending in miscarriage or abortion before 20 weeks. She has no history of miscarriage or abortion, so A0. Living (L): Number of living children. She has two sets of twins (4 children) and her 9-year-old son (1 child), making a total of L5.
C. Gravidity (G): The total number of pregnancies, including the current one. She has had 3 prior pregnancies and is currently pregnant, making her G4. Term (T): Number of term births (37 weeks or later). She has had two sets of twins delivered at 37 and 38 weeks, so T2. Preterm (P): Number of preterm births (between 20 and 36 weeks 6 days). She has one son born at 34 weeks, so P1. Abortions (A): Number of pregnancies ending in miscarriage or abortion before 20 weeks. She has no history of miscarriage or abortion, so A0. Living (L): Number of living children. She has two sets of twins (4 children) and her 9-year-old son (1 child), making a total of L5.
D. Gravidity (G): The total number of pregnancies, including the current one. She has had 3 prior pregnancies and is currently pregnant, making her G4. Term (T): Number of term births (37 weeks or later). She has had two sets of twins delivered at 37 and 38 weeks, so T2. Preterm (P): Number of preterm births (between 20 and 36 weeks 6 days). She has one son born at 34 weeks, so P1. Abortions (A): Number of pregnancies ending in miscarriage or abortion before 20 weeks. She has no history of miscarriage or abortion, so A0. Living (L): Number of living children. She has two sets of twins (4 children) and her 9-year-old son (1 child), making a total of L5.

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A nurse is reinforcing teaching with a client who is pregnant about a biophysical profile (BPP). Which of the following key elements are included in a BPP and should be included in the teaching? (Select All that Apply.)

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Naxlex Comprehensive Predictor Exams

A client is 39 weeks in labor. This is her third pregnancy. She reports an early miscarriage at 8 weeks and a stillborn at 36 weeks. What is her GTPAL?

Correct Answer is D

Explanation

A 37-year-old female is currently 18 weeks pregnant. She has two sets of twins born at 37 and 38 weeks and a 9-year-old son born at 34 weeks gestation. She has no history of miscarriage or abortion. What is her GTPAL?

Correct Answer is A

Explanation

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