A nurse is caring for a client who is pregnant for the fourth time.
The client delivered two full-term newborns and had one spontaneous abortion at 10 weeks of gestation.
The nurse should document the client's obstetrical history as which of the following?

Gravida 3, Para 2.

Gravida 3, Para 3.

Gravida 4, Para 2.

Gravida 4, Para 3. . .

Answer and Explanation

The Correct Answer is C

Choice A rationale

Gravida refers to total pregnancies, not live births, thus excluding the client's current pregnancy inaccurately lowers her gravida count from 4 to 3 in this documentation.

Choice B rationale

Para reflects live births, not pregnancies, thus inaccurately including her spontaneous abortion as a parity increases her para count from 2 to 3, which contradicts obstetric standards.

Choice C rationale

Gravida 4 reflects the client’s total pregnancies, including the current one and her abortion, while Para 2 accounts for her two full-term live births, accurately documenting her obstetrical history.

Choice D rationale

Para 3 includes the abortion, contradicting obstetric definitions that exclude non-viable pregnancies from parity, making this documentation scientifically incorrect in context. .

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Correct Answer is B

Explanation

Choice A rationale

Peanut butter contains high phenylalanine levels, contraindicated in phenylketonuria. This amino acid accumulates in individuals lacking phenylalanine hydroxylase, causing neurotoxicity and developmental delay.

Choice B rationale

Apples are low in phenylalanine, making them a safe option for individuals with phenylketonuria. They provide essential nutrients without contributing to phenylalanine accumulation.

Choice C rationale

Skim milk is rich in phenylalanine due to its high protein content. Consumption in phenylketonuria leads to amino acid buildup and potential neurological harm.

Choice D rationale

Eggs are protein-dense and therefore contain significant phenylalanine levels. This amino acid must be restricted in phenylketonuria to prevent its toxic effects on the brain. .

A. "A yearly Pap test is recommended until 70 years of age.”. B. "Pap tests are discontinued following removal of the ovaries.”. C. "Avoid having sexual intercourse for 24 hours prior to the Pap test.”. D. "Viral infections can be detected by a Pap test.”.

Correct Answer is C

Explanation

Choice A rationale

Yearly Pap tests until 70 years of age are not universally recommended. Current guidelines suggest screening every three years for most individuals, dependent on specific health factors.

Choice B rationale

Removal of ovaries does not eliminate the need for Pap tests. Cervical tissue, the focus of the test, remains unless a hysterectomy with cervix removal is performed.

Choice C rationale

Avoiding intercourse for 24 hours minimizes contamination of cervical cells with external materials, ensuring accurate Pap test results. It is an important preparatory guideline.

Choice D rationale

Pap tests detect cervical dysplasia or malignancy rather than viral infections. Secondary HPV-related cellular changes may be identified, but it is not a primary diagnostic tool for viruses.

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A nurse is caring for a client who is pregnant for the fourth time.The client delivered two full-term newborns and had one spontaneous abortion at 10 weeks of gestation.The nurse should document the client's obstetrical history as which of the following?

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Naxlex Comprehensive Predictor Exams

A nurse is providing dietary teaching to a client who is at 29 weeks of gestation and has phenylketonuria.Which of the following food suggestions should the nurse include?

Correct Answer is B

Explanation

A nurse is providing teaching to a client about the Papanicolaou (Pap) test.Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

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Complete the following sentence using the lists of options.

A nurse is caring for a client who is pregnant for the fourth time.The client delivered two full-term newborns and had one spontaneous abortion at 10 weeks of gestation.The nurse should document the client's obstetrical history as which of the following?

A nurse is caring for a client who is pregnant for the fourth time.
The client delivered two full-term newborns and had one spontaneous abortion at 10 weeks of gestation.
The nurse should document the client's obstetrical history as which of the following?