A 25-year-old client is admitted to labor and delivery in active labor. This is her second pregnancy and she has a two-year old son at home. Which description of gravity and parity is correct for this client?
Gravida 2, Para 1.
Gravida 2, Para 0.
Gravida 1, Para 1.
Gravida 1, Para 0.
The Correct Answer is A
A. Gravida 2, Para 1: Gravida refers to the total number of pregnancies a client has had, including the current one, so this client is gravida 2. Para refers to the number of pregnancies carried to viability (≥20 weeks), so having one previous child makes her para 1.
B. Gravida 2, Para 0: While the client is correctly identified as gravida 2, she has previously carried a pregnancy to viability, so para 0 is inaccurate.
C. Gravida 1, Para 1: Gravida 1 would indicate this is the client’s first pregnancy, which is inconsistent with her history of one prior child.
D. Gravida 1, Para 0: Both the gravida and para are incorrect because this is her second pregnancy and she has delivered one child previously.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Request that a respiratory therapist come to the room: While a respiratory therapist can assist, the immediate need is to ensure the client receives oxygen. Delaying to call for help does not address the urgent requirement for oxygen delivery.
B. Secure the straps around each of the client's ears: Straps should be secured after properly positioning the mask. Securing straps first may result in improper fit and ineffective oxygen delivery.
C. Place mask over the bridge of the nose and then the mouth: Correct placement of the mask over the nose and mouth is the first priority to ensure an adequate oxygen seal and effective therapy. Proper positioning allows oxygen to be delivered safely before checking other components.
D. Check that the reservoir bag inflates during exhalation: Observing the reservoir bag is important to verify oxygen flow, but it cannot be done effectively until the mask is correctly positioned on the client’s face.
Correct Answer is A
Explanation
A. Auscultate all lung fields: In left-sided heart failure, fluid backs up into the lungs, leading to pulmonary congestion and crackles. Assessing all lung fields allows the PN to detect early signs of worsening HF, such as pulmonary edema, which can rapidly become life-threatening.
B. Measure urinary output: Monitoring urine output is important for assessing kidney perfusion and fluid balance, but pulmonary congestion poses a more immediate risk in left-sided HF than changes in urine output.
C. Inspect for sacral edema: Sacral edema is more commonly associated with right-sided heart failure. While peripheral edema should be monitored, it is less critical than evaluating for pulmonary complications in left-sided HF.
D. Check mental acuity: Altered mental status can occur if hypoxia develops from severe pulmonary congestion, but initial assessment focuses on lung function to prevent acute respiratory compromise.
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