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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. Lightening – Correct; "lightening" occurs when the fetal head descends into the pelvis, reducing pressure on the diaphragm, making it easier to breathe.

B. Decreasing chest diameter – Incorrect; the chest diameter does not decrease; instead, the diaphragm moves upward due to uterine growth.

C. Decreased carbon dioxide production – Incorrect; CO₂ production remains stable during pregnancy.

D. Hyperventilation – Incorrect; while pregnancy increases respiratory effort, the client is experiencing relief, not hyperventilation.

A. "Share piercing needles only with close friends you trust." B. "Limit your caloric intake to avoid becoming overweight." C. "Tanning beds are much safer then lying in the sun." D. "Your need for sleep will increase during periods of growth."

Correct Answer is D

Explanation

A. "Share piercing needles only with close friends you trust." – Incorrect; sharing needles increases the risk of HIV, hepatitis B, and hepatitis C.

B. "Limit your caloric intake to avoid becoming overweight." – Incorrect; adolescents need adequate nutrition for growth, and extreme caloric restriction can be harmful.

C. "Tanning beds are much safer than lying in the sun." – Incorrect; tanning beds expose users to harmful UV radiation, increasing the risk of skin cancer.

D. "Your need for sleep will increase during periods of growth." – Correct; adolescents require 8-10 hours of sleep to support rapid growth and development.

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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 client who is at 39 weeks of gestation tells the nurse, "It has been hard to take a deep breath throughout the pregnancy, but in the past week, I feel like I can breathe again." The nurse should recognize that the client is experiencing the effects of which of the following?

Correct Answer is A

Explanation

A nurse is providing health promotion teaching to an adolescent. Which of the following information should the nurse include in the teaching?

Correct Answer is D

Explanation

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