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. Fertilization typically involves one sperm.

b. Sperm can live for up to 72 hours in the female reproductive tract, which is important for timing intercourse for conception.
c. Sperm typically reach the fallopian tubes within hours of ejaculation.

d. The ovum is typically fertilized within 24 hours of ovulation, not 72 hours.

A. Fetal head compression B. Maternal bradycardia C. Uteroplacental insufficiency D. Umbilical cord compression

Correct Answer is C

Explanation

a. This is a common cause of early decelerations, not late decelerations.

b. This is not a cause of late decelerations.

c. Late decelerations are caused by decreased blood flow to the placenta during contractions, resulting in a reduced oxygen supply to the fetus.
d. This is a common cause of variable decelerations, not late decelerations.

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Naxlex Comprehensive Predictor Exams

A nurse is planning to teach couples about the physiology of the sex act. What correct information will the nurse provide? Select one:

Correct Answer is B

Explanation

A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?

Correct Answer is C

Explanation

The priority nursing intervention when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy ( 37 weeks) is to: Select one:

The nurse tells a woman who is trying to conceive to check her cervical mucus for changes. What will she expect the characteristic of cervical mucus to be a few days before ovulation? Select one:

Metabolic changes throughout pregnancy that affect glucose and insulin in the mother and the fetus are complicated but its important to understand. Nurses should understand that: Select one:

The nurse is caring for a woman hospitalized for hyperemesis gravidarum. What should the nurse expect the initial treatment will be? Select one:

Through vaginal examination, the nurse determines that the woman is 8 cm dilated, and the external fetal monitor shows uterine contractions every 3 minutes and a duration of 50 seconds. The nurse would report these findings as:

A nurse is caring for a client who is having a nonstress test performed. The fetal heart rate (FHR) baseline is around 130 beats/min, with four accelerations in 20 minutes, lasting 20 seconds each and the FHR increased more than 25 bpm. Which of the following actions should the nurse perform?

Which fetal heart rate (FHR) finding would concern the nurse during labor? Select one: