A woman is 12 weeks pregnant. She has a 5 year old son born at 38 weeks and 3 year old twin daughters that were born at 36 weeks gestation. She had one other pregnancy that terminated spontaneously at 8 weeks. You would document this as

G4T1P2A1L3

G4T2P0A113

G3T1P2A1L3

G4T1P1A1L3

Answer and Explanation

The Correct Answer is A

A. G4T1P2A1L3 correctly documents her four pregnancies (G4), one term birth (T1), two preterm births (P2), one abortion (A1), and three living children (L3).

B. G4T2P0A1L3 incorrectly suggests two term births and no preterm births.

C. G3T1P2A1L3 incorrectly suggests only three pregnancies.

D. G4T1P1A1L3 incorrectly indicates only one preterm birth.

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Correct Answer is B

Explanation

A. 2300 calories is insufficient for breastfeeding. An additional 500 calories is needed for milk production.

B. The recommended caloric intake for breastfeeding women is typically an additional 500 calories per day above their pre-pregnancy caloric intake. So, for this woman, it would be 2500 calories (2000 + 500).

C. 2750 calories is more than the typical recommendation.

D. 3000 calories is higher than the typical recommendation for most breastfeeding women.

A. “Because you're not eating enough iron-rich foods like meat." B. "Because you are hemoconcentrated the hematocrit dropped after delivery." C. "Because your blood volume has doubled, your hematocrit is lower." D. "This change in hematocrit indicates a postpartum hemorrhage."

Correct Answer is C

Explanation

A. A decrease in hematocrit after delivery is more likely due to physiological changes rather than dietary factors alone, though iron intake is important for overall recovery.

B. Hemoconcentration refers to an increase in hematocrit due to a decrease in plasma volume, but this is not the reason for a decreased hematocrit postpartum.

C. During pregnancy, blood volume increases to support both the mother and fetus. After delivery, plasma volume returns to pre-pregnancy levels, which can cause a relative decrease in hematocrit.

D. A significant drop in hematocrit could indicate postpartum hemorrhage, but a slight drop can be expected as part of normal post-delivery physiology.

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A woman is 12 weeks pregnant. She has a 5 year old son born at 38 weeks and 3 year old twin daughters that were born at 36 weeks gestation. She had one other pregnancy that terminated spontaneously at 8 weeks. You would document this as

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Naxlex Comprehensive Predictor Exams

A woman had a recommended caloric intake of 2000 calories per day before becoming pregnant. She delivers and is breastfeeding. How many calories per day is recommended for her now?

Correct Answer is B

Explanation

A patient had a vaginal birth 4 hours ago. Her hematocrit of 35% on admission for labor. Her current hematocrit is 25% which of the following statements by the nurse might best explain that

Correct Answer is C

Explanation

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