A nurse is reviewing the prenatal record of a client at 28 weeks' gestation.
The woman's history reveals: two pregnancies terminated by elective abortion at 8 and 10 weeks; the birth of twin girls at 36 weeks; and a spontaneous abortion of twins at 12 weeks.
According to the Gravida Para TPAL system, which of the following describes the client's present situation?

5-1-0-2-1

5-1-0-1-3-2

4-2-0-2-0-2

3-1-2-0-2-2

Answer and Explanation

The Correct Answer is A

Choice A rationale

This represents 5 pregnancies (2 elective abortions, 1 twin birth, 1 spontaneous twin abortion, and current pregnancy), 1 term birth, 0 preterm births, 2 abortions (excluding current pregnancy), and 1 living child.

Choice B rationale

Incorrect because it lists 1 term birth and 3 abortions, which does not accurately reflect the client's history.

Choice C rationale

Incorrect because it states 4 pregnancies and 2 living children, missing the current pregnancy and miscounting the living children.

Choice D rationale

Incorrect as it accounts for 3 pregnancies, incorrectly summing the term birth and spontaneous abortions without considering the current pregnancy.

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Correct Answer is B

Explanation

Choice A rationale

Analysis of serum for tetanus antibodies is not an immediate action in acute injury scenarios. The priority is to provide immediate passive immunity.

Choice B rationale

Administration of tetanus immune globulin provides immediate passive immunity. This is crucial to prevent tetanus infection since the client has not been immunized since infancy.

Choice C rationale

Inducing labor to avoid tetanus in the fetus is not a recommended action. The focus should be on providing immediate protection to the mother to prevent infection.

Choice D rationale

Administration of tetanus immune globulin after delivery delays necessary immediate protection. The risk of tetanus infection is immediate, so prompt administration is required.

A. This is a possible sign of pregnancy. B. This is a positive sign of pregnancy. C. This is a presumptive sign of pregnancy. D. This is a probable sign of pregnancy.

Correct Answer is B

Explanation

Choice A rationale

Possible signs of pregnancy include symptoms like nausea, but feeling the baby move is not one of them.

Choice B rationale

Feeling fetal movements felt by both the mother and examiner is a positive sign of pregnancy as it confirms fetal presence.

Choice C rationale

Presumptive signs of pregnancy are symptoms felt by the woman, such as missed periods, but not confirmed fetal movements.

Choice D rationale

Probable signs include changes observed by an examiner, like a positive pregnancy test, but not confirmed fetal movements.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

You, the RN, assess a client who is in the 32nd week of pregnancy.She fell and punctured her leg with a nail.She states she has not had a tetanus immunization since infancy.Which action will you include in her plan of care?

Correct Answer is B

Explanation

A nurse caring for a client in the prenatal clinic states that the patient is clearly pregnant because both the mother and examiner are able to feel the baby move.Which of the following signs of pregnancy is occurring?

Correct Answer is B

Explanation

A pregnant client tells the nurse that her LMP was 3 months ago and began on October 20. Using Naegele's rule, calculate the client's estimated date of delivery. Answer format E.g. "October 20"

A nurse is providing education to a client during her first prenatal visit.Which of the following should the nurse include in the teaching to decrease the risk of preterm labor?

A nurse is caring for a client during an initial prenatal visit.The client's last menstrual period was 18 weeks ago.Which of the following actions should the nurse plan to take?

Which statement by the pregnant client indicates to the nurse an understanding of TORCH infections?

A client is 10 weeks pregnant and is experiencing nausea each day.Which strategy would the nurse NOT recommend to the client?

A nurse is caring for a newborn whose mother is positive for the hepatitis B surface antigen.Which of the following should the infant receive?