A nursing student is asked to calculate the GTPAL for a client presenting to the OB clinic for a prenatal visit. The client has the following obstetric history:
Which of the following GTPAL calculations correctly reflects the client's obstetric history?
G5 T1 P2 A1 L4
G4 T2 PO A1 L3
G4 T2 P1 A1 L3
G5 T2 P1 A1 L3
Correct Answer : A
A. Gravida (G) → Total pregnancies: 5 (including current pregnancy). Term (T) → Pregnancies delivered at ≥37 weeks: 2 (2015, 2018). Preterm (P) → Pregnancies delivered at <37 weeks: 1 (2020, twins at 35 weeks). Abortion (A) → Pregnancy losses before 20 weeks: 1 (2010, spontaneous abortion). Living (L) → Living children: 3 (2 term deliveries + 1 surviving twin from preterm birth).
B. Gravida (G) → Total pregnancies: 5 (including current pregnancy). Term (T) → Pregnancies delivered at ≥37 weeks: 2 (2015, 2018). Preterm (P) → Pregnancies delivered at <37 weeks: 1 (2020, twins at 35 weeks). Abortion (A) → Pregnancy losses before 20 weeks: 1 (2010, spontaneous abortion). Living (L) → Living children: 3 (2 term deliveries + 1 surviving twin from preterm birth).
C. Gravida (G) → Total pregnancies: 5 (including current pregnancy). Term (T) → Pregnancies delivered at ≥37 weeks: 2 (2015, 2018). Preterm (P) → Pregnancies delivered at <37 weeks: 1 (2020, twins at 35 weeks). Abortion (A) → Pregnancy losses before 20 weeks: 1 (2010, spontaneous abortion). Living (L) → Living children: 3 (2 term deliveries + 1 surviving twin from preterm birth).
D. Gravida (G) → Total pregnancies: 5 (including current pregnancy). Term (T) → Pregnancies delivered at ≥37 weeks: 2 (2015, 2018). Preterm (P) → Pregnancies delivered at <37 weeks: 1 (2020, twins at 35 weeks). Abortion (A) → Pregnancy losses before 20 weeks: 1 (2010, spontaneous abortion). Living (L) → Living children: 3 (2 term deliveries + 1 surviving twin from preterm birth).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Clustering care minimizes stress and energy expenditure, promoting growth and development.
B. Keep the newborn in a well-lit nursery. – Preterm infants need dim lighting to mimic the womb.
C. Position the newborn to promote extension of muscles. – Flexed positioning is preferred to mimic fetal positioning.
D. Use fingertips when calming the newborn. – Firm, gentle touch is more soothing.
Correct Answer is ["75"]
Explanation
- Calculate the total daily dose: 50 mg/kg/day * 6 kg = 300 mg/day.
- Calculate the dose per administration: Since the medication is given every 6 hours, it's given 4 times a day (24 hours / 6 hours = 4 doses). So, divide the total daily dose by 4: 300 mg/day / 4 doses/day = 75 mg/dose.
Therefore, you should administer 75 mg of Amoxicillin per dose.
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