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
Explanation
Choice A rationale
Ibuprofen can interact with various over-the-counter medications, including anticoagulants and corticosteroids, which may increase risks of side effects like gastrointestinal bleeding or reduced efficacy, necessitating careful assessment of concurrent drug use.
Choice B rationale
Ibuprofen use is contraindicated in individuals with gastric issues, such as peptic ulcers, as it inhibits prostaglandins, reducing mucosal protection and increasing risks of gastrointestinal perforation and bleeding.
Choice C rationale
Assessing contraception use is irrelevant to ibuprofen administration because ibuprofen lacks teratogenic effects or interference with hormonal contraception and poses no pregnancy-related risks at therapeutic doses.
Choice D rationale
While ibuprofen can elevate blood pressure via prostaglandin inhibition, this is secondary and less clinically significant compared to immediate concerns like drug interactions or gastric side effects.
Correct Answer is D
Explanation
Choice A rationale
Tingling of fingers in pregnancy is linked to hormonal changes and fluid retention, which may cause mild carpal tunnel syndrome. This is a common and non-complication-related discomfort in pregnancy.
Choice B rationale
Absence of clonus indicates no hyperreflexia or neurological compromise. In pregnancy, clonus presence may signal severe preeclampsia, but absence signifies normal neurological function.
Choice C rationale
Leg cramps result from changes in calcium and magnesium metabolism during pregnancy. These are common but are not associated with serious complications unless persistent and related to electrolyte imbalances.
Choice D rationale
Blurred vision may result from severe preeclampsia or elevated blood pressure, signifying potential end-organ damage. It requires immediate medical evaluation to prevent progression to eclampsia.
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