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, twins were born at 34 weeks of gestation, and another child was born at 35 weeks of gestation.
What is her gravidity and parity using the GTPAL System?
G4 T1 P2 A0 L3
G4 T2 P1 A0 L3
G4 T3 P1 A0 L3
G4 T2 P1 A0 L4
The Correct Answer is A
Choice A rationale
The GTPAL system is used to evaluate a woman’s complete obstetric history. In this system: G stands for Gravida, which refers to the number of times a woman has been pregnant, including any current pregnancy. T stands for Term births, referring to the number of times an
individual has carried a pregnancy to at least 37 weeks of gestation and delivered. P stands for Preterm deliveries, which includes babies born between 20 and 36 weeks 6/7 days of gestation. A stands for the number of abortions, referring to all times the individual has lost a pregnancy before 20 weeks. L stands for the number of Living children. In this case, the woman is pregnant for the fourth time (G4). She has had one full-term pregnancy (T1), two preterm pregnancies (P2), no abortions (A0), and all her children from previous pregnancies are living (L3). Therefore, her gravidity and parity using the GTPAL system is G4 T1 P2 A0 L3.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
A patient at 28 weeks of gestation receiving terbutaline may report fine tremors. This is a common side effect of terbutaline, which is a medication used to relax the muscles in the uterus to prevent premature labor. However, while it may be uncomfortable for the patient, it is not typically a cause for immediate concern.
Choice B rationale
A tearful patient at 32 weeks of gestation experiencing irregular, frequent contractions could be experiencing Braxton Hicks contractions, which are often referred to as “false labor.”. These contractions are usually irregular and do not increase in intensity or frequency. While they can be uncomfortable, they are a normal part of pregnancy and do not typically require immediate medical attention. Choice C rationale
A patient diagnosed with preeclampsia reporting epigastric pain and an unresolved headache should be reported to the healthcare provider immediately. These symptoms could indicate severe preeclampsia, which can lead to serious complications if not treated promptly. Epigastric pain may suggest liver involvement, and a persistent headache could be a sign of neurological involvement, both of which require immediate medical attention.
Choice D rationale
A patient diagnosed with preeclampsia having 2+ proteinuria and 2+ patellar reflexes is expected. Proteinuria is a common symptom of preeclampsia, and hyperreflexia can be a sign of increased neurological excitability, a common feature of preeclampsia. However, these findings alone do not typically require immediate medical attention.
Correct Answer is B
Explanation
Choice A rationale
Vaginal discharge is common during pregnancy due to the increased production of estrogen and greater blood flow to the pelvic area. It is not typically a sign of preeclampsia.
Choice B rationale
Elevated blood pressure is a primary symptom of preeclampsia. If a pregnant client has high blood pressure, it should indicate to the nurse that the client requires further evaluation for this disorder.
Choice C rationale
Joint pain is not typically a symptom of preeclampsia. It could be related to other conditions or simply a result of the physical changes of pregnancy.
Choice D rationale
Increased urine output is not typically associated with preeclampsia. In fact, decreased urine output could potentially be a sign of kidney problems related to preeclampsia.
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