A nurse in a prenatal clinic is reviewing a client’s health record.

The client is 28 weeks pregnant.

The history includes one pregnancy terminated by elective abortion at 9 weeks, the birth of twins at 36 weeks, and a spontaneous abortion at 15 weeks.

According to the GTPAL system, how would the nurse describe the client’s current status?

Choice A rationale
Age alone is not a contraindication for the use of ovulation suppressants. Many women safely and effectively use these methods of contraception into their 30s and beyond.
Choice B rationale
This is the correct answer. A family history of thromboembolism can increase the risk of developing blood clots, a potential side effect of hormonal contraceptives like birth control pills.
Choice C rationale
Irregular menstrual cycles can sometimes be regulated by the use of hormonal contraceptives, so this would not necessarily indicate that an ovulation suppressant is not a good choice.
Choice D rationale
An allergy to foreign protein is not typically a contraindication for the use of ovulation suppressants. Birth control Explore

Choice A rationale
The nurse’s action of providing everyone with a copy of the latest research on improving the success of breastfeeding for first-time mothers aligns with the Quality and Safety Education for Nurses (QSEN) competency of Evidence-based Practice. This competency emphasizes the use of current best evidence in making decisions about the care of individual patients or the delivery of health services. By sharing the latest research, the nurse is ensuring that the care conference is informed by the most recent and relevant evidence, thereby enhancing the quality of the discussions and decisions made. This is a key aspect of evidence-based practice, which seeks to integrate clinical expertise with the best available external clinical evidence from systematic research.
Choice B rationale
While Teamwork and Collaboration is indeed a QSEN competency, it does not specifically pertain to the use of research in improving patient outcomes. This competency primarily involves functioning effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision-making to achieve quality patient care. Although the nurse’s action of sharing research could be seen as contributing to teamwork and collaboration, it is more directly related to the competency of Evidence-based Practice.
Choice C rationale
Quality Improvement is another important QSEN competency, but it does not directly relate to the nurse’s action in this scenario. This competency involves using data to monitor the outcomes of care processes, and using improvement methods to design and test changes to continuously improve the quality and safety of healthcare systems. While the use of research can certainly contribute to quality improvement, the nurse’s action of sharing research on breastfeeding is more directly tied to the Evidence-based Practice competency.