A client arrives for her first prenatal appointment.

Exhibits

What is the correct way for the nurse to document the GTPAL for this client?

G5 T2 P1 A1 L3

G4 T2 P1 A1 L4

G5 T1 P2 A1 L4

G4 T1 P2 A1 L3

Answer and Explanation

The Correct Answer is B

G: 4 pregnancies (2017 spontaneous abortion, 2018 twins with one demise, 2020 NSVD, and the current pregnancy)
T: 2 term births (2020 and 2022)
P: 1 preterm birth
A: 1 abortion/miscarriage (2017 spontaneous abortion)
L: 4 living children (twins from 2018 and the child born in 2020)

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Correct Answer is ["A","C","D","F"]

Explanation

A. Provide the caregiver with resources in the community for support: Ensures the caregiver has access to additional help and knowledge about asthma management.
B. Provide the child with a pamphlet on how to use an inhaler: While education for the child is important, at 5 years old, the ability to manage an inhaler independently may not be developmentally appropriate.
C. Refer the caregiver to the asthma educator: Specialized instruction can enhance the caregiver's understanding of asthma management.
D. Ask the caregiver, "what worries you about your child?": Understanding concerns helps tailor education and support to address specific needs.
E. Teach the child how to use the inhaler: Similar to B, teaching the child directly to use the inhaler without supervision may not be feasible at this age.
F. Provide information on child development: Educates the caregiver about realistic expectations regarding the child's ability to manage asthma independently.

A. Point of maximum impulse is shifted to the right B. Weak or absent lower extremity pulses C. Apical pulse is greater than radial pulse D. Systolic murmur at the left sternal border

Correct Answer is B

Explanation

A. Point of maximum impulse is shifted to the right. This is not typically associated with coarctation of the aorta, but with other cardiac abnormalities.
B. Weak or absent lower extremity pulses. Coarctation of the aorta causes narrowing of the aorta, which restricts blood flow to the lower body, leading to diminished pulses in the lower extremities.
C. Apical pulse is greater than radial pulse. This finding is not specifically related to coarctation of the aorta.
D. Systolic murmur at the left sternal border. While murmurs may be present, coarctation typically causes a murmur best heard in the back or left infraclavicular area.

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A client arrives for her first prenatal appointment. Exhibits What is the correct way for the nurse to document the GTPAL for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an acute pediatric unit is assessing a 5-year-old child following an asthma event. The child's caregiver expects the child to use an inhaler without supervision. The nurse can apply which of the following interventions as protective factors for the child? (Select All that Apply.)

Correct Answer is ["A","C","D","F"]

Explanation

What assessment finding would the nurse expect in an infant with coarctation of the aorta?

Correct Answer is B

Explanation

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A client arrives for her first prenatal appointment.

Exhibits

What is the correct way for the nurse to document the GTPAL for this client?