A 32-year-old female is currently 11 weeks pregnant. She has no living children. She reports that she had two miscarriages at 9 and 12 weeks gestation. What is her GTPAL
G3 TO PO A2 LO
G3 TO PO A3 LO
G3 T1 P2 A0 L4
G3 TI P2 AO LO
The Correct Answer is A
A. G3 T0 P0 A2 L0 – Correct, as she has had three pregnancies (including the current one), no term or preterm births, two miscarriages, and no living children.
B. G3 T0 P0 A3 L0 – Incorrect, as she has had two miscarriages, not three.
C. G3 T1 P2 A0 L4 – Incorrect, as she has had no term or preterm births and no living children.
D. G3 T1 P2 A0 L0 – Incorrect, as she has had no term or preterm births.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Fundus soft, 2 fingerbreadths below the umbilicus – Incorrect; the fundus should be firm, not soft, to prevent postpartum hemorrhage.
B. Fundus firm, 2 fingerbreadths above the umbilicus – Incorrect; a fundus above the umbilicus at 12 hours may indicate bladder distension or uterine atony.
C. Fundus soft, to the right of the umbilicus – Incorrect; a deviated and soft fundus suggests bladder distension, requiring intervention.
D. Fundus firm, at the level of the umbilicus – Correct; at 12 hours postpartum, the fundus should be firm and at the level of the umbilicus, gradually decreasing in height each day.
Correct Answer is A
Explanation
A. Gravidity (G): The total number of pregnancies, including the current one. She has had 3 prior pregnancies and is currently pregnant, making her G4. Term (T): Number of term births (37 weeks or later). She has had two sets of twins delivered at 37 and 38 weeks, so T2. Preterm (P): Number of preterm births (between 20 and 36 weeks 6 days). She has one son born at 34 weeks, so P1. Abortions (A): Number of pregnancies ending in miscarriage or abortion before 20 weeks. She has no history of miscarriage or abortion, so A0. Living (L): Number of living children. She has two sets of twins (4 children) and her 9-year-old son (1 child), making a total of L5.
B. Gravidity (G): The total number of pregnancies, including the current one. She has had 3 prior pregnancies and is currently pregnant, making her G4. Term (T): Number of term births (37 weeks or later). She has had two sets of twins delivered at 37 and 38 weeks, so T2. Preterm (P): Number of preterm births (between 20 and 36 weeks 6 days). She has one son born at 34 weeks, so P1. Abortions (A): Number of pregnancies ending in miscarriage or abortion before 20 weeks. She has no history of miscarriage or abortion, so A0. Living (L): Number of living children. She has two sets of twins (4 children) and her 9-year-old son (1 child), making a total of L5.
C. Gravidity (G): The total number of pregnancies, including the current one. She has had 3 prior pregnancies and is currently pregnant, making her G4. Term (T): Number of term births (37 weeks or later). She has had two sets of twins delivered at 37 and 38 weeks, so T2. Preterm (P): Number of preterm births (between 20 and 36 weeks 6 days). She has one son born at 34 weeks, so P1. Abortions (A): Number of pregnancies ending in miscarriage or abortion before 20 weeks. She has no history of miscarriage or abortion, so A0. Living (L): Number of living children. She has two sets of twins (4 children) and her 9-year-old son (1 child), making a total of L5.
D. Gravidity (G): The total number of pregnancies, including the current one. She has had 3 prior pregnancies and is currently pregnant, making her G4. Term (T): Number of term births (37 weeks or later). She has had two sets of twins delivered at 37 and 38 weeks, so T2. Preterm (P): Number of preterm births (between 20 and 36 weeks 6 days). She has one son born at 34 weeks, so P1. Abortions (A): Number of pregnancies ending in miscarriage or abortion before 20 weeks. She has no history of miscarriage or abortion, so A0. Living (L): Number of living children. She has two sets of twins (4 children) and her 9-year-old son (1 child), making a total of L5.
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