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. This is not the correct action for this situation.

b. This is not the correct action for this situation.

c. This is not the correct action for this situation.

d. The patient is experiencing uterine tachysystole, which is defined as more than five contractions in 10 minutes, lasting longer than 90 seconds, or with less than 30 seconds of interval between contractions. This can cause fetal hypoxia and distress, as evidenced by late decelerations in the fetal heart rate tracing. The nurse should stop the oxytocin, increase the IV fluid rate, position the patient on her left side, administer oxygen, and notify the provider.

A. Perform a venipuncture for hemoglobin and hematocrit levels B. Place clean disposable pads to collect any drainage C. Monitor uterine contractions D. Asses fetal heart rate (FHR) and maternal vital signs

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.

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

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:

Correct Answer is D

Explanation

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