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:

The glucose challenge test is used to check for gestational diabetes during pregnancy. People at average risk of gestational diabetes usually have this test done during the second trimester, generally between 24 and 28 weeks of pregnancy.

Choice B rationale:

This is too early in the pregnancy to screen for gestational diabetes. The body’s response to sugar changes as the pregnancy progresses, so testing is typically done later.

Choice C rationale:

This is still a bit early for the screening. The recommended time is between 24 and 28 weeks of gestation.

Choice D rationale:

This is too late in the pregnancy for the screening. The recommended time is between 24 and 28 weeks of gestation.

A. Generalized vasospasm. B. Painless bright red vaginal bleeding. C. "Knife-like" abdominal pain with vaginal bleeding. D. Increased fetal movement.

Correct Answer is C

Explanation

The correct answer is choice C.

Choice A rationale:

Generalized vasospasm is not a symptom of abruptio placenta. It is more associated with conditions like preeclampsia.

Choice B rationale:

Abruptio placenta is usually associated with painful dark red vaginal bleeding, not painless bright red bleeding.

Choice C rationale:

“Knife-like” abdominal pain with vaginal bleeding is a classic symptom of abruptio placenta.

Choice D rationale:

Increased fetal movement is not a symptom of abruptio placenta. In fact, fetal movement may decrease due to distress.

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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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Naxlex Comprehensive Predictor Exams

Encouraging routine prenatal visits is an important function for nurses to ensure the clients avoid complications or difficulties throughout the pregnancy and birth.The nurse would prepare to screen clients for gestational diabetes at which time during the pregnancy?

Correct Answer is A

Explanation

A nurse has been assigned to assess a pregnant client for abruptio placenta.For which classic manifestation of this condition should the nurse assess?.

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.