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?

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. .

Choice A rationale

Restricting protein intake can worsen outcomes in preeclampsia by increasing protein catabolism. Normal protein intake (50–100 g/day) is encouraged to meet the nutritional needs of mother and fetus.

Choice B rationale

Seizure precautions are necessary in preeclampsia due to the risk of eclampsia from uncontrolled blood pressure. Measures include bedrails padding and medication administration to reduce seizure occurrences.

Choice C rationale

Ambulation may exacerbate complications in severe preeclampsia due to elevated blood pressure and increased vascular resistance. Rest and activity restriction better manage symptoms and prevent worsening.

Choice D rationale

Fluid administration at high rates can worsen edema in preeclampsia. Controlled fluid management balances volume without exacerbating hypertension or causing pulmonary edema. .