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A client is 39 weeks in labor. This is her third pregnancy. She reports an early miscarriage at 8 weeks and a stillborn at 36 weeks. What is her GTPAL?

G2 T1 P1 A1 LO

G2 TO P1 A1 L1

G3 TO P1 A1 L1

G3 TO P1 A1 LO

Answer and Explanation

The Correct Answer is D

A. G2 T1 P1 A1 L0 – Incorrect; does not include the current pregnancy.

B. G2 T0 P1 A1 L1 – Incorrect; does not include current pregnancy and incorrectly counts a living child.

C. G3 T0 P1 A1 L1 – Incorrect; incorrectly counts a living child.

D. G3 T0 P1 A1 L0 – Correct; accurately represents her pregnancy history.

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Correct Answer is A

Explanation

A. Body weight – Correct; the best indicator of fluid loss in infants is a change in weight because infants have higher water content and small changes can significantly impact hydration status.

B. Blood pressure – Incorrect; infants can maintain blood pressure until dehydration becomes severe.

C. Respiratory rate – Incorrect; respiratory rate may increase with dehydration but is not the most reliable indicator.

D. Skin integrity – Incorrect; poor skin turgor is a sign of dehydration, but weight loss is more objective and accurate.

A. Feel for a full bladder. B. Request the provider perform a vaginal examination. C. Check the client's fundus. D. Measure the client's vital signs.

Correct Answer is C

Explanation

A. Feel for a full bladder. – Incorrect; a full bladder can contribute to postpartum bleeding, but checking fundal firmness should be prioritized first.

B. Request the provider perform a vaginal examination. – Incorrect; the nurse should assess the fundus and attempt interventions first before calling the provider.

C. Check the client’s fundus. – Correct; the priority action is to assess the fundus for firmness, as a boggy uterus is the most common cause of postpartum hemorrhage.

D. Measure the client’s vital signs. – Incorrect; while vital signs are important, assessing fundal tone and initiating interventions come first.

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A client is 39 weeks in labor. This is her third pregnancy. She reports an early miscarriage at 8 weeks and a stillborn at 36 weeks. What is her GTPAL?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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