Which of the following reflects the normal sequence of postpartum vaginal discharge?

he nurse should document the client's present gravidity (G) as 4.

Here's the breakdown:

• G stands for Gravidity, which is the total number of pregnancies a woman has had, regardless of their outcome.
• The client has had:
  • 1 pregnancy terminated by elective abortion
  • 1 pregnancy resulting in the birth of twins (counted as one pregnancy)
  • 1 spontaneous abortion
  • 1 current pregnancy (at 28 weeks)

Therefore, the total number of pregnancies is 4.

Choice A rationale:

"Tell me more about your concerns" is an appropriate therapeutic response by the nurse. It encourages the client to express her worries and fears about the pelvic examination. Open-ended questions like this one allow the nurse to better understand the client's specific concerns, which can help in addressing them effectively.

Choice B rationale:

"All you need to do is relax during the exam" may come across as dismissive and may not address the client's anxiety effectively. It's important to acknowledge the client's feelings and offer support rather than making the situation seem overly simplistic.

Choice C rationale:

"Don't worry. I will stay in there with you for the exam" might make the client feel like she has no control over the situation and can be invasive. While offering support is important, it's essential to respect the client's autonomy and provide emotional support through active listening and communication.

Choice D rationale:

"A pelvic exam is required if you want birth control pills" is not an appropriate response to the client's anxiety about the pelvic exam. This response does not address the client's concerns and may not provide the necessary emotional support or information she needs.