Utilize the GTPAL system to classify a woman who is currently 18 weeks pregnant.
This is her 4th pregnancy.
She gave birth to one baby vaginally at 26 weeks who died, experienced a miscarriage, and has one living child who was delivered at 38 weeks gestation.

4, 1, 1, 1.

3, 2, 1.

4, 2, 2, 1, 1.

3, 2, 1, 1, 1.

Answer and Explanation

The Correct Answer is A

The correct answer is choice A.

Choice A rationale:

The GTPAL system stands for Gravida, Term, Preterm, Abortions, and Living children. In this case, the woman has been pregnant 4 times (Gravida 4), has had one term birth (Term 1), one preterm birth (Preterm 1), one abortion/miscarriage (Abortions 1), and one living child (Living 1). Therefore, the correct classification is 4, 1, 1, 1, 1.

Choice B rationale:

This choice incorrectly classifies the number of pregnancies (Gravida should be 4, not 3) and does not account for the preterm birth or the number of living children.

Choice C rationale:

This choice overcounts the number of term births and living children.

Choice D rationale:

This choice incorrectly classifies the number of pregnancies (Gravida should be 4, not 3) and overcounts the number of living children.

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Correct Answer is A

Explanation

The correct answer is choice A.

Choice A rationale:

Variable decelerations are associated with problems with the umbilical cord, such as compression. This is because they occur irregularly and can happen at any time during the contraction cycle.

Choice B rationale:

Early decelerations are usually benign and are associated with fetal head compression during a uterine contraction. They are not typically indicative of a problem with the umbilical cord.

Choice C rationale:

Accelerations are usually a sign of fetal well-being and are not typically associated with umbilical cord issues.

Choice D rationale:

Late decelerations are associated with uteroplacental insufficiency, which is a decrease in the blood flow to the placenta that reduces the amount of oxygen and nutrients transferred to the fetus. They are not typically indicative of a problem with the umbilical cord.

A. There is a loss of 5% to 10% of the birth weight in the first few days in breastfed infants only. B. There is an increase in 3% to 5% of birth weight by day 3 in formula-fed babies. C. There is a loss of 5% to 10% of birth weight in formula-fed and breastfed newborns. D. A formula-fed newborn should gain 3% to 5% of the initial birth weight in the first 48 hours, but a breastfed newborn may lose up to 3%.

Correct Answer is C

Explanation

The correct answer is choice C.

Choice A rationale:

While it’s true that breastfed infants may lose 5% to 10% of their birth weight in the first few days, this is not exclusive to breastfed infants.

Choice B rationale:

Formula-fed babies may gain weight more quickly than breastfed babies, but they do not typically show an increase in weight by day 3.

Choice C rationale:

Both formula-fed and breastfed newborns can lose 5% to 10% of their birth weight in the first few days.

Choice D rationale:

While formula-fed newborns may gain weight more quickly than breastfed newborns, they do not typically gain 3% to 5% of the initial birth weight in the first 48 hours.

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Utilize the GTPAL system to classify a woman who is currently 18 weeks pregnant.This is her 4th pregnancy.She gave birth to one baby vaginally at 26 weeks who died, experienced a miscarriage, and has one living child who was delivered at 38 weeks gestation.

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A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor.The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?.

Correct Answer is A

Explanation

What should the nurse expect for a full-term newborn's weight during the first few days of life?.

Correct Answer is C

Explanation

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Utilize the GTPAL system to classify a woman who is currently 18 weeks pregnant.
This is her 4th pregnancy.
She gave birth to one baby vaginally at 26 weeks who died, experienced a miscarriage, and has one living child who was delivered at 38 weeks gestation.