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 D

Explanation

a. A scalp electrode is not indicated unless there is a problem with the external monitor tracing or if further assessment of the fetal heart rate variability is needed.
b. This is important but repositioning the patient is the priority.

c. Amnioinfusion is only done if repositioning the patient does not resolve the late decelerations.

d. The nurse is observing late decelerations of the fetal heart rate, which indicate uteroplacental insufficiency and fetal hypoxia. The nurse's first priority is to reposition the patient to improve placental blood flow and oxygen delivery to the fetus. Repositioning can be done by turning the patient to her side, elevating her legs, or placing a wedge under her hip.

A. Assess and record urine output. B. Assess cervix dilation C. Assess deep tendon reflexes D. Check respiratory rate

Correct Answer is B

Explanation

a. This is an important nursing intervention when a patient is receiving magnesium sulfate, as the medication can affect renal function.
b. Assessing cervix dilation is not related to magnesium sulfate toxicity.

c. This is an important nursing intervention when a patient is receiving magnesium sulfate, as the medication can affect neuromuscular function.
d. This is an important nursing intervention when a patient is receiving magnesium sulfate, as the medication can affect respiratory function.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A 25 years old patient at 38 weeks gestation who is in labor is being treated with magnesium sulfate for preeclampsia. Which nursing intervention does not correspond with this medication's toxicity? Select one:

Correct Answer is B

Explanation

The nurse is reviewing the laboratory results of a patient and notes that the patient has low levels of gonadotropin-releasing hormone (GnRH). Which physiologic process would be highly affected in the patient?

A 37 weeks pregnant female reports to the nurse that she is sleeping in a supine position and feels dizzy after waking up in the morning. What advice does the nurse give to the patient? Select one:

Because of the effect of cyclic ovarian changes on the breast, the best time for breast self-examination (BSE) is:

A woman was treated recently for toxic shock syndrome (TSS). She has intercourse occasionally and uses over-the-counter protection. On the basis of her history, what contraceptive method should she and her partner avoid?

The nurse is administering Terbutaline (Brethine) to a pregnant woman to stop preterm labor. Which finding indicates an adverse reaction and the Physician must be notified? Select one:

Which finding on a prenatal visit at 12 weeks could suggest a hydatidiform mole (molar pregnancy)? Select one:

A nurse is caring for a client in the second prenatal visit, the laboratory findings indicate a negative rubella titer. Which of the following is the correct interpretation of this data?