Maria is pregnant for the second time. She has a 5-year-old daughter who was born at 39 weeks gestation. What is her GTPAL?

G1. TO. PO. AO L

G2, TO, P1. AD. L

G3, TO, PO, AO, LO

G2, T1, PO, AO, L1

Answer and Explanation

The Correct Answer is D

A. G1, T0, P0, A0, L1: Maria is in her second pregnancy, not her first, so the G (Gravida) should be 2.

B. G2, T0, P1, A0, L1: Maria delivered her child at term (39 weeks), not preterm, so "P" (preterm births) should be 0, and "T" (term births) should be 1.

C. G3, T0, P0, A0, L0: Maria is only in her second pregnancy, so "G" should be 2, and she has one living child, so "L" should be 1.

D. G2, T1, P0, A0, L1. "G" (Gravida) is 2 because she is pregnant for the second time. "T" (Term) is 1 because she had one term pregnancy that resulted in the birth of her daughter. "P" (Preterm) is 0 because she has no preterm births. "A" (Abortions) is 0 because she has had no miscarriages or abortions. "L" (Living children) is 1 because she has one living child.

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Correct Answer is C

Explanation

A. Give herself a hypertonic enema the day before the procedure. A hypertonic enema is not required for an amniocentesis. In fact, enemas are not part of the preparation for this procedure.

B. Wash her abdomen with soap and water the morning of the procedure. While general hygiene is always recommended, specific cleansing of the abdomen is not necessary for an amniocentesis.

C. Empty her bladder immediately prior to the procedure. At 23 weeks of gestation, the bladder should be emptied to prevent accidental puncture during the amniocentesis.

D. Refrain from eating breakfast the day of the procedure. Fasting is not necessary for an amniocentesis; the client can eat normally before the procedure.

A. Facial edema B. Urinary frequency C. Mood swings D. Decreased energy

Correct Answer is A

Explanation

A. Facial edema: Facial edema, especially in the second or third trimester, can be a sign of preeclampsia, a serious condition that requires prompt medical attention.

B. Urinary frequency: Urinary frequency is common in pregnancy, particularly during the first and third trimesters, and is not usually a sign of a complication.

C. Mood swings: Mood swings are common due to hormonal changes during pregnancy and are typically not a cause for concern unless they are severe or accompanied by other symptoms like depression.

D. Decreased energy: Feeling fatigued or having decreased energy is common during pregnancy, especially in the first trimester, and does not typically require medical intervention unless accompanied by other concerning symptoms.

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Maria is pregnant for the second time. She has a 5-year-old daughter who was born at 39 weeks gestation. What is her GTPAL?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is at 23 weeks of gestation and will return to the facility the following week for an amniocentesis. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

A nurse is caring for a client who has just learned that she is pregnant. The nurse should reinforce with the client to call her provider if she experiences which of the following manifestations?

Correct Answer is A

Explanation

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