A nurse is reviewing the prenatal record of a client at 28 weeks' gestation.
The woman's history reveals: two pregnancies terminated by elective abortion at 8 and 10 weeks; the birth of twin girls at 36 weeks; and a spontaneous abortion of twins at 12 weeks.
According to the Gravida Para TPAL system, which of the following describes the client's present situation?

5-1-0-2-1

5-1-0-1-3-2

4-2-0-2-0-2

3-1-2-0-2-2

Answer and Explanation

The Correct Answer is A

Choice A rationale

This represents 5 pregnancies (2 elective abortions, 1 twin birth, 1 spontaneous twin abortion, and current pregnancy), 1 term birth, 0 preterm births, 2 abortions (excluding current pregnancy), and 1 living child.

Choice B rationale

Incorrect because it lists 1 term birth and 3 abortions, which does not accurately reflect the client's history.

Choice C rationale

Incorrect because it states 4 pregnancies and 2 living children, missing the current pregnancy and miscounting the living children.

Choice D rationale

Incorrect as it accounts for 3 pregnancies, incorrectly summing the term birth and spontaneous abortions without considering the current pregnancy.

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

Explanation

Choice A rationale

Being unhoused can increase stress and instability, potentially leading to polysubstance use as a coping mechanism.

Choice B rationale

Lack of health insurance can limit access to healthcare, making it harder to seek help for substance use disorders and increasing the risk of polysubstance use.

Choice C rationale

Anxiety disorders can lead individuals to self-medicate with multiple substances, increasing the risk of polysubstance use disorder.

Choice D rationale

Consuming fast food is not directly related to polysubstance use disorder.

Choice E rationale

10th-grade education level alone is not a direct indication of polysubstance use disorder.

A. Call the healthcare provider. B. Elevate the head of the bed. C. Encourage deep breathing. D. Turn her to her side.

Correct Answer is D

Explanation

Choice A rationale

Calling the healthcare provider delays immediate intervention needed to alleviate the client's symptoms of dizziness and nausea due to supine hypotensive syndrome. Quick repositioning is crucial to improve venous return and alleviate the symptoms.

Choice B rationale

Elevating the head of the bed will not relieve the pressure on the inferior vena cava caused by the supine position. This intervention does not address the underlying cause of the client's symptoms.

Choice C rationale

Encouraging deep breathing is unlikely to resolve the symptoms of supine hypotensive syndrome, which is caused by the compression of the vena cava by the gravid uterus when lying supine. This intervention does not address the physiological cause.

Choice D rationale

Turning her to her side relieves the pressure on the inferior vena cava, improving venous return and increasing blood pressure. This is the correct initial action to address the symptoms of supine hypotensive syndrome.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the electronic medical record of a pregnant client who reports regular use of alcohol. Which of the following findings should the nurse identify as an indication the client may be at risk for polysubstance use disorder? (Select All that Apply)

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

Explanation

The nurse is assessing a woman in early labor.While positioning her for a vaginal exam, she complains of dizziness and nausea and appears pale.Her blood pressure has dropped slightly.What is the appropriate initial nursing action?

Correct Answer is D

Explanation

A nurse caring for a client in the prenatal clinic states that the patient is clearly pregnant because both the mother and examiner are able to feel the baby move.Which of the following signs of pregnancy is occurring?

A nurse is teaching a client that is HIV positive about HIV treatment.The client is 16 weeks pregnant.Which statement made by the client indicates that she needs more teaching?

A client is 10 weeks pregnant and is experiencing nausea each day.Which strategy would the nurse NOT recommend to the client?

A nurse is caring for a newborn whose mother is positive for the hepatitis B surface antigen.Which of the following should the infant receive?

The nurse who is assessing a G2 P1 client palpates the fundal height at the location noted on the picture below (near the umbilicus). The nurse concludes that the fetus is equal to which of the following gestational ages?

A father asks the nurse how the baby can exist in fluid for so long without resulting in some harmful effects on the skin.The nurse's best reply would be:

The nurse instructs a pregnant client that the purpose of an amniocentesis at 36 weeks gestation is for: