A nursing student is asked to calculate the GTPAL for a c

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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:

Exhibits

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

Answer and Explanation

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).

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Correct Answer is A

Explanation

A. Cephalohematoma → Bleeding under the scalp leads to increased RBC breakdown, increasing bilirubin levels and jaundice risk.

B. Acrocyanosis → Normal finding in newborns, unrelated to jaundice.

C. Caput succedaneum → Soft tissue swelling, not associated with RBC breakdown or jaundice.

D. Mongolian spots → Pigmented birthmarks, not linked to bilirubin levels.

A. Thyroid-stimulating hormone B. Glucose C. BUN D. Liver function E. Refer the caregiver to the asthma educator

Correct Answer is B

Explanation

A. Thyroid-stimulating hormone (TSH) → Thyroid disorders can cause menstrual irregularities but are not directly linked to PCOS.

B. Glucose → Insulin resistance is a hallmark of PCOS, making glucose monitoring essential for detecting diabetes risk.

C. BUN (Blood Urea Nitrogen) → PCOS does not primarily affect kidney function.

D. Liver function tests → While metabolic syndrome in PCOS can contribute to fatty liver, routine liver function tests are not a first-line concern.

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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:

Exhibits

Which of the following GTPAL calculations correctly reflects the client's obstetric history?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

Correct Answer is B

Explanation

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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: Exhibits Which of the following GTPAL calculations correctly reflects the client's obstetric history?

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Explanation

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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:

Exhibits

Which of the following GTPAL calculations correctly reflects the client's obstetric history?