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 B
Explanation
A. Inform the client that the healthcare provider will need to increase the prescribed dose of levothyroxine sodium: An increased heart rate is a sign of excessive thyroid hormone activity. Increasing the dosage could worsen tachycardia and precipitate complications such as arrhythmias or cardiac strain.
B. Hold the next dose of levothyroxine sodium and notify the charge nurse of the change in the client's pulse rate: Holding the next dose and promptly reporting to the charge nurse allows further evaluation and prevents potential cardiac complications from excessive thyroid hormone levels.
C. Explain to the client that this is an expected side effect and administer the next dose of levothyroxine sodium as prescribed: A rise from 98 to 120 beats/minute is excessive and warrants concern. Continuing the medication without evaluation could exacerbate symptoms of hyperthyroidism, including palpitations and chest pain.
D. Administer the scheduled dose of levothyroxine sodium unless the client's blood pressure is greater than 140/90 mm Hg: Blood pressure is not the most relevant indicator for levothyroxine dosage adjustment. The primary concern here is the elevated pulse rate, which signals potential overstimulation from the thyroid medication.
Correct Answer is C
Explanation
A. Complaints of nausea within 5 minutes after taking sips of water: Mild nausea postoperatively is common and can often be managed with antiemetics or slow oral intake. While it should be monitored, it does not require immediate escalation.
B. Oral temperature 100° F (37.7°C) 30 minutes after taking an analgesic: A low-grade fever is not unusual after surgery due to inflammation or early postoperative response. It warrants observation but is not an urgent finding.
C. Total urinary output of 20 mL for the past 2 consecutive hours: Oliguria after nephrectomy is a critical sign that may indicate impaired renal function or hypovolemia. Reporting this immediately allows timely intervention to prevent renal compromise and fluid-electrolyte imbalance.
D. Pain in left flank surgical site described as 6 on a 10 point scale: Moderate pain is expected postoperatively and can be managed with prescribed analgesics. It does not require immediate reporting unless accompanied by other acute complications.
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