A nurse is reviewing the chart of a patient on the postpartum unit. The chart indicates the patient is a G6, T3, P1, A2, L4. What is the nurse's interpretation of this patient's obstetric history? Select All That Apply

Three births at 37 to 42 weeks gestation.

One birth between 20 weeks and 36 weeks 6 days gestation.

One pregnancy loss before 20 weeks gestation.

Three elective abortions.

Four children currently living.

Answer and Explanation

Correct Answer : A,B,C,E

Choice A reason: The designation T3 indicates that the patient has had three full-term births, defined as births that occurred between 37 and 42 weeks of gestation. This is part of the standard obstetric history notation.

Choice B reason: The notation P1 means the patient has had one preterm birth, which is defined as a birth that occurred between 20 weeks and 36 weeks 6 days of gestation. This is an important part of understanding the patient's pregnancy history.

Choice C reason: A2 denotes that the patient has had two pregnancy losses before 20 weeks of gestation, which can include miscarriages or stillbirths. This is crucial for assessing the patient's reproductive health history.

Choice D reason: There is no indication from the notation G6, T3, P1, A2, L4 that the patient has had three elective abortions. Elective abortions would be noted differently in the patient's chart if they were part of the obstetric history.

Choice E reason: The notation L4 indicates that the patient currently has four living children. This is an important part of the patient's obstetric history as it gives insight into their childbearing outcomes.

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Correct Answer is A

Explanation

Choice A reason: Salmeterol, a long-acting beta-agonist (LABA), is generally not recommended for use during pregnancy due to potential risks to the fetes. It is typically avoided unless absolutely necessary and other safer options are not effective.

Choice B reason: Prednisone is a corticosteroid that can be used during pregnancy when necessary. It is often prescribed for managing severe asthma symptoms, but it should be used under close medical supervision to minimize potential risks.

Choice C reason: Ibuterol is a short-acting beta-agonist (SABA) and is generally considered safe for use during pregnancy. It is commonly used as a rescue inhaler to relieve acute asthma symptoms.

Choice D reason: The text for option D is incomplete and does not provide sufficient information to determine its relevance to the question.

A. Discontinue the indwelling catheter. B. Increase intravenous fluid rate. C. Check the catheter for patency. D. Document the finding.

Correct Answer is C

Explanation

Choice A reason: Discontinuing the indwelling catheter is not appropriate without first assessing the cause of the low urine output.

Choice B reason: Increasing the intravenous fluid rate might be considered if the patient is dehydrated, but first, the nurse should ensure that the low urine output is not due to a mechanical issue with the catheter.

Choice C reason: Checking the catheter for patency is the most immediate and appropriate action. There could be a blockage or kink in the catheter, which might explain the low urine output.

Choice D reason: Documenting the finding is important, but it should be done after addressing the immediate concern of low urine output and confirming that the catheter is functioning properly.

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A nurse is reviewing the chart of a patient on the postpartum unit. The chart indicates the patient is a G6, T3, P1, A2, L4. What is the nurse's interpretation of this patient's obstetric history? Select All That Apply

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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