When reading the obstetrical history of a client who is currently at 36 weeks gestation, the nurse notes that she has had one full-term infant, one premature infant born at 32 weeks gestation that survived, and one miscarriage.
Which is this client's gravidity?

Gravida 4.

Gravida 3.

Gravida 5.

Gravida 2.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Gravidity refers to the total number of times a woman has been pregnant, regardless of the outcome. This client has had one full-term infant, one premature infant, and one miscarriage, plus the current pregnancy, making a total of four pregnancies.

Choice B rationale

Gravidity is not determined by the number of live births. This client has had more than three pregnancies, so Gravida 3 is incorrect.

Choice C rationale

Gravidity does not count the number of live births and miscarriages separately. It counts the total number of pregnancies, making Gravida 5 incorrect in this context.

Choice D rationale

Gravida 2 would only apply if the client had been pregnant twice, which is not the case here.

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Correct Answer is B

Explanation

Choice B rationale

Providing multidisciplinary resources and ongoing support is crucial for newborns exposed to methadone. This approach helps in managing withdrawal symptoms and ensures the child receives comprehensive care.

Choice A rationale

Keeping the newborn in the nursery may be beneficial initially but does not address the long-term needs of the child and the family.

Choice C rationale

Administering methadone to the newborn is not typically done unless specifically indicated by the healthcare provider.

Choice D rationale

Calling social services for foster care placement may be necessary in some cases, but providing support and resources to the mother and child is the primary intervention.

A. Palpate suprapubic area for fetal head position. B. Scan the bladder for urinary retention. C. Test the fluid with a nitrazine strip. D. Insert straight urinary catheter to drain bladder.

Correct Answer is C

Explanation

Choice A rationale

Palpating the suprapubic area to assess fetal head position is not relevant to identifying the source of fluid leakage. This technique is used to evaluate fetal engagement in the pelvis, particularly near term, but it does not help in determining whether the fluid leakage is amniotic fluid or urine.

Choice B rationale

Scanning the bladder for urinary retention is unrelated to identifying the nature of fluid leakage. A bladder scan is useful for detecting residual urine volume in the bladder, often post-voiding, and is typically used in cases of urinary retention or post-operative care.

Choice C rationale

Testing the fluid with a nitrazine strip is a standard method to distinguish amniotic fluid from urine or vaginal secretions. Amniotic fluid has a higher pH (usually between 7.0 and 7.5), causing the nitrazine strip to turn blue, whereas urine and vaginal secretions usually have a lower pH, resulting in a yellow or green color on the strip.

Choice D rationale

Inserting a straight urinary catheter to drain the bladder is an invasive procedure that does not directly identify the source of fluid leakage. This technique is typically used to relieve urinary retention or to collect a sterile urine specimen, not for diagnosing amniotic fluid leakage.

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When reading the obstetrical history of a client who is currently at 36 weeks gestation, the nurse notes that she has had one full-term infant, one premature infant born at 32 weeks gestation that survived, and one miscarriage.Which is this client's gravidity?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a newborn with suspected neonatal abstinence syndrome.The mother is currently taking methadone and is in a treatment program.Which intervention should the nurse implement prior to discharge?

Correct Answer is B

Explanation

During a routine prenatal health assessment for a client in her third trimester, the client reports that she had fluid leakage on her way to the appointment.Which technique should the nurse implement to evaluate the leakage?

Correct Answer is C

Explanation

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When reading the obstetrical history of a client who is currently at 36 weeks gestation, the nurse notes that she has had one full-term infant, one premature infant born at 32 weeks gestation that survived, and one miscarriage.
Which is this client's gravidity?