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. Ectopic pregnancy occurs outside the uterus, so uterine enlargement is not expected.
b. Vaginal bleeding may occur but is not specific to ectopic pregnancy.
c. These symptoms are nonspecific and can occur in various conditions, including ectopic pregnancy, but they are not specific to it.
d. This is a classic symptom of ectopic pregnancy and occurs due to the stretching of the fallopian tube or rupture.

A. Use the barrier method. B. Abstain from sex. C. Use the female condom. D. Use the male condom. E. Use the male condom.

Correct Answer is B

Explanation

a. The barrier method, which includes male and female condoms, diaphragms, and cervical caps, is effective at preventing pregnancy but may not provide adequate protection against sexually transmitted diseases.
b. Abstaining from sex is the only surefire way to prevent both pregnancy and sexually transmitted diseases.
c. The female condom can provide some protection against pregnancy, but may not provide adequate protection against sexually transmitted diseases.
d. The male condom can provide some protection against pregnancy, but may not provide adequate protection against sexually transmitted diseases.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a suspected ectopic pregnancy at 8 weeks of gestation. Which of the following manifestations should the nurse expect to identify as consistent with the diagnosis?

Correct Answer is D

Explanation

The nurse is providing sexual education to a group of high school students. What will the nurse explain is the most effective choice of birth control for preventing pregnancy and sexually transmitted diseases? Select one:

Correct Answer is B

Explanation

A nurse in a provider's office is caring for a client who is at 36 weeks of gestation and scheduled for an amniocentesis. The client asks why she is having an ultrasound prior to the procedure. Which of the following is an appropriate response by the nurse?

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

When assessing the fetus using Leopold maneuvers, the nurse feels a round, firm, movable fetal part in the pelvis inlet and a long, smooth, and soft surface in the mother's left side close to the midline. What is the likely position of the fetus? Select one:

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:

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?

A nurse is admitting a client who has severe preeclampsia at 35 weeks of gestation and is reviewing the provider's orders. Which of the following orders requires clarification?

Preconception counseling is critical to the outcome of diabetic pregnancies because poor glycemic control before and during early pregnancy increase the incidence of Select one:

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