A client at 39 weeks gestation is admitted in early labor. During the focused assessment, the practical nurse (PN) reviews the obstetrical history of the client who states that she has been pregnant five times but has only two living children, both of whom were full-term. The other three pregnancies were miscarriages during the first trimester. Which parity should the PN document for the term, premature, abortion, and living children (TPAL) for this client?
Term 2, Premature 0, Abortion 3, Living 2.
Term 6, Premature 3, Abortion 3, Living 2.
Term 2, Premature 1, Abortion 0, Living 3.
Term 3, Premature 0, Abortion 3, Living 2.
The Correct Answer is A
TPAL stands for Term, Premature, Abortion, and Living children, and it is used to document a client's obstetrical history.
In this case, the client has had a total of 5 pregnancies:
- Two pregnancies resulted in full-term (term) births, so the Term value is 2.
- Three pregnancies resulted in miscarriages during the first trimester (abortion), so the Abortion value is 3.
- The client has two living children, so the Living value is 2.
- There is no mention of any premature births, so the Premature value is 0.
Therefore, the appropriate documentation for this client's TPAL is Term 2, Premature 0, Abortion 3, and Living 2.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The statement "I realize that life must go on, but sometimes I wonder why" suggests that the client is experiencing ongoing feelings of sadness, questioning, and possibly struggling to find meaning or purpose in life after the loss of her spouse. This statement indicates a need for bereavement counseling to help the client navigate the grieving process and address the emotional challenges associated with the loss.
Correct Answer is ["A","B","C","E","H"]
Explanation
To identify the potential source of the client's new-onset confusion and decreased appetite, the nurse can use the following assessment techniques:
- Ask to see the client's list of home medications: This can help identify any medications that may contribute to confusion or appetite changes.
- Determine if the client has recently lost a loved one: Emotional distress, such as grief from a recent loss, can contribute to changes in mental status and appetite.
- Measure the client's vital signs: Vital signs can provide important information about the client's overall health status and help identify any abnormalities that may be contributing to the symptoms.
- Perform a 12-lead electrocardiogram: This can help assess the client's cardiac function and detect any cardiac-related causes for the symptoms.
- Ask about the client's last bowel movement: Changes in bowel habits can sometimes be indicative of underlying issues affecting appetite and overall health.
- Measure the client's abdominal circumference: This can help assess for any abdominal distension or changes that may be related to the client's symptoms.
Collecting a sputum and urine culture and sensitivities and having the client ambulate across the room are not directly related to identifying the potential source of confusion and decreased appetite in this case.
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