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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 ["C","E","F"]

Explanation

A. Fetal weight – Not included in a BPP; estimated fetal weight is assessed separately.
B. Fetal urine – Not a direct component of the BPP; however, amniotic fluid volume is assessed, which indirectly reflects fetal kidney function.
C. Fetal tone – Included in the BPP; assesses fetal flexion and extension.
D. Fetal position – Not part of the BPP; fetal positioning is evaluated in general obstetric ultrasounds.
E. Fetal movement – Included in the BPP; measures gross body movements as an indicator of fetal well-being.
F. Fetal breathing – Included in the BPP; evaluates fetal respiratory movements, which indicate neurological function.

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." B. "No, it should only last until about your 12th week, but it will return near the end of the pregnancy." C. "Yes, it will, but if you decrease your fluid intake, especially at bedtime, it won't be so bothersome." D. "No, in most cases it only lasts until about the 12th week, but it will continue if you have poor bladder tone."

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.

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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 reinforcing teaching with a client who is pregnant about a biophysical profile (BPP). Which of the following key elements are included in a BPP and should be included in the teaching? (Select All that Apply.)

Correct Answer is ["C","E","F"]

Explanation

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Correct Answer is B

Explanation

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