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?

2-0-0-2-0

3-0-2-0-2

4-2-0-2-2

4-0-1-2-2

Answer and Explanation

The Correct Answer is C

Choice A rationale
This choice suggests that the client has had 2 pregnancies with no term births, no preterm births, 2 abortions, and no living children. However, this does not accurately reflect the client’s history, which includes one pregnancy terminated by elective abortion at 9 weeks, the birth of twins at 36 weeks, and a spontaneous abortion at 15 weeks.
Choice B rationale
This choice suggests that the client has had 3 pregnancies with no term births, 2 preterm births, no abortions, and 2 living children. This does not accurately reflect the client’s history.
Choice C rationale
This choice suggests that the client has had 4 pregnancies with 2 term births, no preterm births, 2 abortions, and 2 living children. This accurately reflects the client’s history. The client has been pregnant 4 times (one current pregnancy, one set of twins, one elective abortion, and one spontaneous abortion). The client has had 2 term births (the twins), no preterm births, 2 abortions (one elective and one spontaneous), and 2 living children (the twins)12.
Choice D rationale
This choice suggests that the client has had 4 pregnancies with no term births, 1 preterm birth, 2 abortions, and 2 living children. This does not accurately reflect the client’s history.

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Correct Answer is D

Explanation

Choice A rationale
This date would be too early if the last menstrual period was on May 4, 2022141516.
Choice B rationale
This date would be too early if the last menstrual period was on May 4, 2022141516.
Choice C rationale
This date would be too early if the last menstrual period was on May 4, 2022141516.
Choice D rationale
If the first day of the last menstrual period was on May 4, 2022, the estimated due date would be 40 weeks from that date, which is April 27, 2023141516.

A. Intrauterine growth restriction. B. Hearing loss. C. Congenital heart defects. D. Type 1 diabetes mellitus.

Correct Answer is A

Explanation

Choice A rationale
This is the correct answer. Smoking during pregnancy increases the risk of intrauterine growth restriction, which can lead to low birth weight.
Choice B rationale
While smoking can have many negative health effects, there is no direct link between maternal smoking and hearing loss in the newborn.
Choice C rationale
Maternal smoking is not directly linked to congenital heart defects in the newborn.
Choice D rationale
There is no established link between maternal smoking and the development of type 1 diabetes mellitus in the newborn.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a prenatal clinic is caring for a client who wants to know her estimated date of delivery if her last menstrual period was on May 4, 2022. What should the nurse respond?

Correct Answer is D

Explanation

A nurse is completing a health history for a patient who is 6 weeks pregnant. The patient informs the nurse that she smokes one pack of cigarettes per day. The nurse should inform the patient that smoking puts her newborn at risk for which of the following complications?

Correct Answer is A

Explanation

A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation. Where should the nurse expect to palpate the fundus?

A nurse is caring for a client who is in her first trimester of pregnancy and is wondering if she can continue to exercise during pregnancy. Which of the following responses by the nurse would be appropriate?

During a care conference, a nurse provides everyone with a copy of the latest research on improving the success of breastfeeding for first-time mothers. Which Quality and Safety Education for Nurses competency does this nurse’s action support?

A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation. The client reports urinary frequency and asks if this will continue until delivery. What should the nurse respond?

A pregnant woman is asked to observe fetal movements as a fetal assessment technique. The nurse would instruct her to:

A nurse is providing preconception counseling for a client who is planning a pregnancy. Which of the following supplements should the nurse recommend to help prevent neural tube defects in the fetus?