A woman's obstetric history indicates that she is pregnant for the fourth time and all of her children from previous pregnancies are living. One was born at 39 weeks of gestation, another child was born at 40 weeks of gestation, and the last child was born at 36.2 weeks of gestation. What is her gravidity and parity using the GTPAL system?

Select one:

4-2-1-0-3

4-1-1-1-3

4-1-2-0-3

4-3-0-0-3

Answer and Explanation

The Correct Answer is A

a. In this case, the woman is pregnant for the fourth time, so her gravidity is 4.

She has one child born at 39 weeks, another child born at 40 weeks, and one child born at 36.2 weeks. The first two are considered term births, and the last one is considered a preterm birth. Therefore, her term is 1 and her preterm is 2. She has no abortions, so her abortion is 0. She has three living children, so her living children is 3. Hence, her GTPAL is 4-2-1-0-3.
b.   This indicates 1 full-term pregnancy, 1 preterm pregnancy, and 3 living child.

c.   This would indicate 1 full-term pregnancy, 2 preterm pregnancies, and 3 living children.
d.   4-3-0-0-3: This would indicate 3 full-term pregnancies and 3 living children.

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Correct Answer is B

Explanation

a. Not every woman ovulates on day 14 of her cycle, and the basal temperature only rises after ovulation, not before.
b. The basal temperature is the lowest body temperature during a 24-hour period.

It is usually measured first thing in the morning before any physical activity or eating. The basal temperature can indicate when a woman is ovulating, as it tends to rise slightly (about 0.5°F or 0.3°C) after ovulation and remain elevated until the next menstrual period. By tracking the basal temperature over several cycles, a woman can identify her most fertile days and plan accordingly.
c. Intercourse can affect the body temperature and give a false reading.

d. The basal temperature is influenced by factors such as food, drink, stress, and activity, so it should be measured before any of these occur.

A. 20 B. 18 C. 28 D. 24

Correct Answer is D

Explanation

a. The expected total weight gain during pregnancy for a woman with a preconception BMI of 19 is 28-40 lbs.
b. The expected total weight gain during pregnancy for a woman with a preconception BMI of 19 is 28-40 lbs.
c. The expected total weight gain during pregnancy for a woman with a preconception BMI of 19 is 28-40 lbs.
d. The expected total weight gain during pregnancy for a woman with a preconception BMI of 19 is 28-40 lbs.

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Naxlex Comprehensive Predictor Exams

A nurse is instructing a female client about how to check the basal temperature in order to determine if the client is ovulating. The nurse should instruct the client to check her temperature at which of the following times?

Correct Answer is B

Explanation

A 22-year-old woman pregnant with a single fetus has a preconception body mass index (BMI) of 19. When she was seen in the clinic at 33 weeks of gestation, she had gained 4 lbs in the first trimester. What should be the expected weight gain at this pregnancy time?

Correct Answer is D

Explanation

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