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. . .
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. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
Choice A rationale
Nulliparity increases ovarian cancer risk by prolonging ovulation periods. Continuous ovulation raises the likelihood of genetic mutations in ovarian epithelial cells.
Choice B rationale
Breastfeeding lowers ovarian cancer risk by suppressing ovulation through hormonal regulation during lactation. This protective effect decreases cellular mutation opportunities.
Choice C rationale
Postmenopausal estrogen therapy elevates ovarian cancer risk by stimulating cell proliferation in ovarian tissues, promoting oncogenesis in hormonally sensitive cells.
Choice D rationale
Oral contraceptives reduce ovarian cancer risk by suppressing ovulation and stabilizing hormonal levels, leading to decreased oxidative stress on ovarian epithelium.
Choice E rationale
A history of breast cancer correlates with increased ovarian cancer risk due to shared genetic mutations, such as BRCA1/2, which predispose individuals to both malignancies.
Correct Answer is D
Explanation
Choice A rationale
IUD replacement depends on the type. For instance, hormonal IUDs typically last 3-5 years, and copper IUDs can last up to 10 years. Annual replacement is unnecessary.
Choice B rationale
Spermicide use is unnecessary with an IUD as its primary function is to prevent fertilization. This statement reflects a lack of understanding of IUD mechanisms.
Choice C rationale
Periods may become lighter or irregular with hormonal IUDs, but they rarely stop completely. Copper IUDs may actually increase menstrual flow in some cases.
Choice D rationale
Checking for the string ensures proper IUD positioning and functionality. This monthly practice helps detect dislodgement or expulsion, which can compromise contraceptive effectiveness.
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