A nurse is reviewing the chart of a patient on the postpartum unit. The chart indicates the patient is a G6, T3, P1, A2, L4. What is the nurse's interpretation of this patient's obstetric history? Select All That Apply

Three births at 37 to 42 weeks gestation.

One birth between 20 weeks and 36 weeks 6 days gestation.

One pregnancy loss before 20 weeks gestation.

Three elective abortions.

Four children currently living.

Answer and Explanation

Correct Answer : A,B,C,E

Choice A reason: The designation T3 indicates that the patient has had three full-term births, defined as births that occurred between 37 and 42 weeks of gestation. This is part of the standard obstetric history notation.

Choice B reason: The notation P1 means the patient has had one preterm birth, which is defined as a birth that occurred between 20 weeks and 36 weeks 6 days of gestation. This is an important part of understanding the patient's pregnancy history.

Choice C reason: A2 denotes that the patient has had two pregnancy losses before 20 weeks of gestation, which can include miscarriages or stillbirths. This is crucial for assessing the patient's reproductive health history.

Choice D reason: There is no indication from the notation G6, T3, P1, A2, L4 that the patient has had three elective abortions. Elective abortions would be noted differently in the patient's chart if they were part of the obstetric history.

Choice E reason: The notation L4 indicates that the patient currently has four living children. This is an important part of the patient's obstetric history as it gives insight into their childbearing outcomes.

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Correct Answer is D

Explanation

Choice A reason: Immediately administering another dose is not advisable as it could lead to an overdose if any amount of the medication has been absorbed.

Choice B reason: Offering a snack and administering another dose is not appropriate, as it could lead to an overdose and the snack may interfere with the absorption of the medication.

Choice C reason: Administering the next dose as ordered without consulting the healthcare provider could result in improper dosing and potential toxicity.

Choice D reason: Contacting the healthcare provider is the safest action. The provider can give specific instructions on how to proceed, including whether another dose should be given and when.

A. Have the patient sit on the side of the bed. B. Walk alongside the patient to the bathroom. C. Obtain an oral temperature. D. Assess for sensation in the lower extremities. E. Assess bowel sounds and passing flatus.

Correct Answer is ["A","B","D"]

Explanation

Choice A reason: Having the patient sit on the side of the bed before standing is crucial to prevent dizziness or fainting, especially after giving birth. This intervention allows the patient to stabilize and ensures that they do not experience sudden drops in blood pressure, which can lead to falls.

Choice B reason: Walking alongside the patient to the bathroom is important to provide support and ensure their safety. The patient may still be weak or unsteady after giving birth, and having the nurse nearby can help prevent falls and provide assistance if needed.

Choice C reason: Obtaining an oral temperature is not immediately necessary when assisting a patient to the bathroom post-vaginal birth. While monitoring vital signs is important, this intervention does not directly contribute to the immediate need for safe ambulation.

Choice D reason: Assessing for sensation in the lower extremities is essential to ensure that the patient has regained feeling and control in their legs. This assessment helps to determine if there are any residual effects from epidural anaesthesia or other factors that may affect mobility and safety.

Choice E reason: Assessing bowel sounds and passing flatus is important for overall postpartum care but is not directly related to assisting the patient to the bathroom. This intervention is more relevant to monitoring gastrointestinal recovery and function after childbirth.

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A nurse is reviewing the chart of a patient on the postpartum unit. The chart indicates the patient is a G6, T3, P1, A2, L4. What is the nurse's interpretation of this patient's obstetric history? Select All That Apply

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Naxlex Comprehensive Predictor Exams

The nurse is administering digoxin as ordered and the child vomits the dose. What action will the nurse take next?

Correct Answer is D

Explanation

The nurse is assisting a patient 2 hours post-vaginal birth out of bed to the bathroom for the first time. Which interventions will the nurse implement? Select all that apply.

Correct Answer is ["A","B","D"]

Explanation

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