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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 B

Explanation

A. "There is no way to predict how long it will last for each individual client, so you'll just have to wait and see." – Incorrect; this does not provide helpful education.
B. "No, it should only last until about your 12th week, but it will return near the end of the pregnancy." – Correct; urinary frequency occurs in the first trimester due to hormonal changes and again in the third trimester due to fetal pressure on the bladder.
C. "Yes, it will, but if you decrease your fluid intake, especially at bedtime, it won't be so bothersome." – Incorrect; reducing fluid intake may cause dehydration.
D. "No, in most cases it only lasts until about the 12th week, but it will continue if you have poor bladder tone." – Incorrect; bladder tone does not significantly affect this symptom.

A. Elevated client blood pressure during contractions B. Decrease in client blood volume C. Increased client cardiac output D. Client bradypnea

Correct Answer is C

Explanation

A. Elevated client blood pressure during contractions – Incorrect; high BP can reduce uteroplacental circulation, affecting fetal oxygenation.

B. Decrease in client blood volume – Incorrect; a drop in blood volume would compromise oxygen delivery.

C. Increased client cardiac output – Correct; cardiac output increases during labor to enhance blood flow to the placenta, improving fetal oxygenation.

D. Client bradypnea – Incorrect; slow breathing (bradypnea) can lead to hypoxia, reducing fetal oxygen supply.

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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 is caring for a client in the prenatal clinic who is at 7 weeks of gestation. The client reports urinary frequency and asks the nurse if this will continue throughout her pregnancy. Which of the following responses by the nurse is appropriate?

Correct Answer is B

Explanation

A nurse is discussing fetal oxygenation during labor of a client with the RN. As the client progresses through the first stage of labor, which of the following client physiologic adaptations should the nurse identify as promoting fetal oxygenation?

Correct Answer is C

Explanation

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