When assessing a client at 38-weeks gestation, the practical nurse (PN) determines that she has one set of female twins, who are now 6 years old, a son who is 4 years old, and last year she had a fetal loss at 24-weeks gestation. Which is the correct gravidity and parity for this client?

Gravida-4, Para-4.

Gravida-4, Para-3.

Gravida-S, Para-3.

Gravida-5, Para-2.

Answer and Explanation

The Correct Answer is B

A.   Gravida (G) refers to the total number of pregnancies. This option counts all four pregnancies (twins, son, fetal loss) which is correct. Parity (P) refers to the number of pregnancies that have reached viable gestational age (20 weeks or beyond). Since the fetal loss at 24 weeks is included in the count, the parity is incorrectly stated as 4.
B.   Gravida (G) counts all four pregnancies, which is accurate. Parity (P) considers only the pregnancies that reached viable gestational age. As there are two children from the twins, one child aged 4 years, and the fetal loss at 24 weeks (which is not considered as viable gestational age), the correct parity is 3.
C.   Gravida (G) represented as 'S' typically indicates "stillbirths" rather than the total number of pregnancies. It does not provide an accurate representation of all pregnancies, so this is not the correct choice.
D.   Gravida (G) counts five pregnancies, which doesn't accurately represent the scenario as there have been four pregnancies, not five. Parity (P) as 2 doesn't account for the twins, so it's incorrect.

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Correct Answer is D

Explanation

A. Term 6, Premature 3, Abortion 3, Living 2. This choice is incorrect because it counts each miscarriage as both a term and a premature birth. A term birth is one that occurs after the completion of the 37th week of gestation. A premature birth is one that occurs before the completion of the 37th week of gestation. A miscarriage is a pregnancy loss that occurs before the completion of the 20th week of gestation.

B. Term 2, Premature 3, Abortion 3, Living 2. This choice is incorrect because it counts each miscarriage as a premature birth. A miscarriage is not a premature birth because it occurs before the viability of the fetus.

C. Term 2, Premature 1, Abortion 0, Living 3. This choice is incorrect because it does not count the miscarriages as abortions. An abortion is any pregnancy loss that occurs before the completion of the 20th week of gestation, regardless of whether it is spontaneous or induced.

D. Term 3, Premature 0, Abortion 3, Living 2. This choice is correct because it accurately reflects the client's obstetrical history. The client has had three term births (two living children and one current pregnancy), no premature births, three abortions (all miscarriages in the first trimester), and two living children.

A. Check for kinks in the drainage tubing. B. Observe the drainage again in one hour. C. Report the finding to the charge nurse. D. Stop the irrigation solution immediately

Correct Answer is C

Explanation

A. Checking for kinks in the drainage tubing might be a part of troubleshooting, but the observed clots and thick red fluid require immediate attention, so informing the charge nurse is the priority.
B. Delaying assessment for another hour could potentially exacerbate the issue if there's a problem with the irrigation or if the client's condition worsens.
C. Reporting the finding to the charge nurse is crucial as it indicates potential complications such as bleeding or clot formation that need immediate intervention.
D. Immediately stopping the irrigation solution without proper assessment and guidance could lead to complications and isn't the initial action warranted in this situation.

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When assessing a client at 38-weeks gestation, the practical nurse (PN) determines that she has one set of female twins, who are now 6 years old, a son who is 4 years old, and last year she had a fetal loss at 24-weeks gestation. Which is the correct gravidity and parity for this client?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

Correct Answer is C

Explanation

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