The nurse is obtaining an obstetrical history on a currently pregnant woman. The client has an 18-month-old daughter who was delivered 2 days after estimated due date and a 3-year-old son who was born at 35 weeks' gestation. Before her son was born, she lost two pregnancies: one at 10 weeks and the other at 22 weeks. Using the GTPAL method, how would the nurse record this history?

G5 T1 P2 A1 L2

G5 T2 P2 A1 L2

G4 T1 P2 A2 L2

G4 T1 P1 A2 L2

Answer and Explanation

The Correct Answer is A

A) G5 T1 P2 A1 L2:
G (Gravida): Gravida refers to the total number of pregnancies, including the current pregnancy. In this case, the woman is currently pregnant and has had 4 previous pregnancies (one miscarriage at 10 weeks, one at 22 weeks, and two live births). Therefore, her Gravida (G) is 5.
T (Term births): Term births are those that occur at or after 37 weeks of gestation. The woman delivered an 18-month-old daughter who was born 2 days after her due date, which is a term birth. Thus, her Term (T) is 1.
P (Preterm births): Preterm births occur between 20 and 36 weeks of gestation. The woman had a son born at 35 weeks, which is classified as a preterm birth. Therefore, the Preterm (P) is 2.
A (Abortions or miscarriages): Abortions refer to pregnancies that ended before 20 weeks of gestation. The woman experienced two miscarriages, one at 10 weeks and one at 22 weeks. Thus, the Abortions (A) is 1.
L (Living children): Living children are those who are currently alive. The woman has a 3-year-old son and an 18-month-old daughter, so the Living (L) is 2.
Thus, the correct GTPAL classification is G5 T1 P2 A1 L2.

B) G5 T2 P2 A1 L2:
This is incorrect because the woman had only one term birth (not two). She delivered her daughter at term, but the son was preterm (born at 35 weeks). Therefore, her Term (T) should be 1, not 2.

C) G4 T1 P2 A2 L2:
This is incorrect because the woman is currently pregnant, so her Gravida (G) is 5, not 4. Additionally, the woman had 1 abortion, not 2.

D) G4 T1 P1 A2 L2:
This is also incorrect because the woman is currently pregnant, so her Gravida (G) is 5, not 4. Furthermore, the woman had 2 preterm births, not 1.

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Free Nursing Study Resources

Correct Answer is ["2"]

Explanation

Given:

Desired dose: Ampicillin 0.5 g PO

Available concentration: Ampicillin capsules 250 mg each

To find:

Number of capsules to administer for a single dose

Step 1: Convert desired dose to milligrams

We know that 1 gram (g) is equal to 1000 milligrams (mg). Therefore, to convert the desired dose from grams to milligrams, we multiply by 1000:

Desired dose (mg) = Desired dose (g) x 1000

Desired dose (mg) = 0.5 g x 1000 = 500 mg

Step 2: Calculate the number of capsules

To find the number of capsules, we divide the desired dose by the strength of each capsule:

Number of capsules = Desired dose / Capsule strength

Number of capsules = 500 mg / 250 mg/capsule = 2 capsules

A. Sublimation B. claiming C. mutuality D. engrossment

Correct Answer is D

Explanation

A) Sublimation:
Sublimation refers to a defense mechanism where a person redirects potentially negative emotions or impulses into socially acceptable behaviors or activities. While this is a psychological concept, it does not apply to the father’s behavior immediately after birth. The father's actions, such as gazing at his baby and bonding, are not a result of sublimation but rather a normal part of bonding and attachment.

B) Claiming:
Claiming refers to the process where parents identify specific traits or characteristics in their newborn that they feel emotionally connected to, such as "He has my eyes" or "She has your nose." While the father might be engaging in claiming behaviors as he bonds with his baby, this term is more focused on recognizing physical attributes, rather than the intense emotional connection and captivation that is reflected in the scenario.

C) Mutuality:
Mutuality involves the reciprocal relationship between the newborn and the parents, where both give and receive emotional responses. It develops as the baby and parent interact, such as through eye contact, touch, and vocalizations. However, mutuality is a broader, ongoing process, while the father's behavior in this instance reflects a more specific emotional attachment and admiration, which aligns more closely with engrossment.

D) Engrossment:
Engrossment refers to the intense fascination and preoccupation that a parent, especially a father, feels toward their newborn. This process is characterized by behaviors such as gazing at the baby, holding them closely, and being captivated by their every movement. The father’s behavior in this scenario—staring into his baby’s eyes and showing deep emotional engagement—fits the definition of engrossment, which is a common and normal part of the bonding process immediately after birth.

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Naxlex Comprehensive Predictor Exams

A client is ordered ampicillin 0.5 g po every 6 hours. On hand are ampicillin capsules labeled 250mg. How many capsules will the nurse administer for single dose?

Correct Answer is ["2"]

Explanation

Immediately after birth, the father of the newborn holds the baby close, stares into his eyes, and seems captivated by him. The nurse recognizes this as the normal process of:

Correct Answer is D

Explanation

When assessing a newborn shortly after birth, the nurse finds flat, irregular pinkish marks the forehead, the nape of the neck and the eyelids. The areas blanch when pressed with a finger. The nurse would document this finding as:

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The nursing, intructor is explaining the cardinal movements of labor to the nursing students. The instructor explains that the initial descent of the fetus into the pelvis to zero station is which one of the cardinal movements of labor.

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