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. While this is important, it is not the priority when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy.
b. This is important for managing the bleeding but is not the priority.
c. Monitoring uterine contractions is important, but assessing fetal heart rate (FHR) and maternal vital signs is the priority to determine the status of the fetus and mother.
d. Bleeding in late pregnancy can indicate placental abruption, which is a life- threatening condition for both the mother and the fetus. The nurse should monitor the FHR and maternal vital signs to assess the severity of the bleeding and the fetal and maternal well-being.

A. Aspirin. B. Morphine. C. с. Aleve D. IUDs.

Correct Answer is C

Explanation

a. Aspirin can relieve pain, but it is not typically used for primary dysmenorrhea due to its potential side effects.
b. Morphine can relieve pain, but it is not typically used for primary dysmenorrhea due to its potential for addiction and other side effects.
c. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as Aleve (naproxen) are often used to relieve pain associated with primary dysmenorrhea.
d. IUDs are not used for pain relief in primary dysmenorrhea but may be used for contraception.

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is D

Explanation

Management of primary dysmenorrhea often requires a multifaceted approach. The nurse who provides care for a client with this condition should be aware that the optimal pharmacologic therapy for pain relief is: Select one:

Correct Answer is C

Explanation

The nurse providing care for the laboring woman recognizes that late fetal heart rate (FHR) decelerations are caused by: 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:

A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. The nurse locates the fetal heart tones above the client's umbilicus, at the midline. The nurse should suspect that the fetus is in which of the following presentation?

A nurse is caring for a client who is in labor. Which of the following nursing actions reflects the application of the Gate control theory of pain?