A pregnant client visits for her first check up and states she had a boy at 30 weeks that died of SIDS, a baby at 39 weeks, an ectopic pregnancy at 11 weeks, and a miscarriage at 22 weeks. Identify the parity using GTPAL

G5T1P2A1L1

G5T1P1A2L1

G4T1P1A2L0

G4T1P1A2L1

Answer and Explanation

The Correct Answer is A

A. G5T1P2A1L1
G5 (5 pregnancies: 39 wks, 30 wks, ectopic, miscarriage, current). T1 (39 wks). P2 (30 and 22 wks). A1 (ectopic at 11 wks). L1 (only one living child from the 39-week baby).

B. G5T1P1A2L1
Parity is 2, not 1.

C. G4T1P1A2L0
Gravida is 5, and she has one living child.

D. G4T1P1A2L1
Gravida must be 5, not 4.

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Correct Answer is C

Explanation

A. “I never liked milk, but I have started adding more cheese and other dairy products to my diet.”: Indicates an appropriate dietary substitution for calcium-no teaching needed.

B. “I have been walking 2 miles every day for the last 3 years, and I plan to maintain my walking during pregnancy.”: Continuing moderate exercise is safe and encouraged in pregnancy.

C. “My husband and I used to have wine every night for dinner, now we have wine once a week.”: Any alcohol during pregnancy is contraindicated due to risk of fetal alcohol spectrum disorders.

D. “I used to douche once a week prior to pregnancy, but now I have stopped.”: Discontinuing douching is appropriate; it can disturb normal vaginal flora and lead to infection.

A. Breast tenderness B. Palpable fetal parts C. Urinary frequency D. Amenorrhea E. Morning sickness F. Fetal heart rate detected by doppler device

Correct Answer is ["A","C","D","E"]

Explanation

A. Breast tenderness – A common early symptom caused by hormonal changes, especially increased progesterone and estrogen.

B. Palpable fetal parts – This is a probable sign because a healthcare provider can feel fetal movement or parts through abdominal palpation after mid-pregnancy.

C. Urinary frequency – Often occurs due to hormonal shifts and increased blood flow to the kidneys, as well as pressure from the growing uterus.

D. Amenorrhea (Absence of Menstruation) – A classic sign that often leads people to suspect pregnancy, caused by the hormonal suppression of the menstrual cycle.

E. Morning sickness – Nausea and vomiting commonly occur due to rising hCG (human chorionic gonadotropin) levels, typically starting around the 6th week of pregnancy.

F. Fetal heart rate detected by Doppler device – Considered a positive sign of pregnancy, as fetal heart tones confirm the presence of a living fetus.

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A pregnant client visits for her first check up and states she had a boy at 30 weeks that died of SIDS, a baby at 39 weeks, an ectopic pregnancy at 11 weeks, and a miscarriage at 22 weeks. Identify the parity using GTPAL

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Naxlex Comprehensive Predictor Exams

The nurse is teaching a group of pregnant clients about antenatal care. Which comment by one of the clients indicates a need for further teaching?

Correct Answer is C

Explanation

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Correct Answer is ["A","C","D","E"]

Explanation

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