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 B

Explanation

Choice A rationale
Enlarged lymph nodes are not a typical finding related to breast changes in early pregnancy.
Choice B rationale
Darkened breast areolas are a common change in early pregnancy. This is due to hormonal changes that affect the skin’s pigmentation.
Choice C rationale
Deeply fissured nipples are not a typical change in early pregnancy. However, some women may experience nipple sensitivity or tenderness.
Choice D rationale
Slack soft breast tissue is not a typical change in early pregnancy. In fact, many women experience breast enlargement and firmness during this time.

A. Controls the risk of hypertension while pregnant B. Sustains a slow and steady weight gain while pregnant C. Maintains energy throughout the pregnancy D. Prevents neural tube disorders in the developing fetus .

Correct Answer is D

Explanation

Choice A rationale
While maintaining a healthy blood pressure is important during pregnancy, folic acid does not directly control the risk of hypertension.
Choice B rationale
Folic acid does not directly affect weight gain during pregnancy.
Choice C rationale
While folic acid is important for overall health, it does not specifically maintain energy throughout pregnancy.
Choice D rationale
Folic acid is crucial for early fetal development, particularly for the development of the neural tube, which becomes the brain and spine. Adequate intake of folic acid can help prevent neural tube defects in the developing fetus. EthnocentrismEthnocentrism Explore

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

If a woman is 3 months pregnant, which of the following findings related to breast changes would you expect to assess?

Correct Answer is B

Explanation

The nurse is teaching a client in the first trimester of pregnancy about the importance of folic acid in the diet and how folic acid supplements might be beneficial. For which reason is the nurse teaching the client about this vitamin?

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?

A nurse is providing nutritional education to a patient at her first prenatal visit. Which of the following statements should the nurse include in the teaching?

What is considered a positive sign of pregnancy?

A nurse in a prenatal clinic is completing a skin assessment of a client who is in the second trimester. Which of the following findings should the nurse expect? (Select all that apply.)

A nurse is considering contraceptive options for four patients. Which patient should the nurse identify as having a contraindication for oral contraceptives?

A nurse is caring for an antepartum client whose laboratory findings indicate a negative rubella titer. Which of the following is the correct interpretation of this data?

A nurse in a provider’s office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse should recognize that which of the following is the most common risk factor for abruption?