A woman's obstetric history indicates that she is pregnant for the fourth time and all of her children from previous pregnancies are living. One was born at 39 weeks of gestation, another child was born at 40 weeks of gestation, and the last child was born at 36.2 weeks of gestation. What is her gravidity and parity using the GTPAL system?
Select one:
4-2-1-0-3
4-1-1-1-3
4-1-2-0-3
4-3-0-0-3
The Correct Answer is A
a. In this case, the woman is pregnant for the fourth time, so her gravidity is 4.
She has one child born at 39 weeks, another child born at 40 weeks, and one child born at 36.2 weeks. The first two are considered term births, and the last one is considered a preterm birth. Therefore, her term is 1 and her preterm is 2. She has no abortions, so her abortion is 0. She has three living children, so her living children is 3. Hence, her GTPAL is 4-2-1-0-3.
b. This indicates 1 full-term pregnancy, 1 preterm pregnancy, and 3 living child.
c. This would indicate 1 full-term pregnancy, 2 preterm pregnancies, and 3 living children.
d. 4-3-0-0-3: This would indicate 3 full-term pregnancies and 3 living children.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
a. This is a common cause of variable decelerations, not late decelerations.
b. This is a common cause of variable decelerations, not late decelerations.
c. Late decelerations are caused by decreased blood flow to the placenta during contractions, resulting in a reduced oxygen supply to the fetus.
d. This is a common cause of variable decelerations, not late decelerations.
Correct Answer is C
Explanation
a. This may be done if the fetal heart rate (FHR) tracing is not clear, but it is not the first priority in this situation.
b. Early decelerations can indicate fetal head compression and is a normal finding hence there is no need of notifying the healthcare provider.
c. One of the FHR patterns that may be observed is early decelerations, which are symmetrical decreases in FHR that coincide with uterine contractions. Early decelerations are usually benign and reflect fetal head compression during contractions. The nurse's first priority in this case is to document as a normal finding and continue to monitor the FHR and uterine activity.
d. This may help relieve pressure on the fetal head and improve FHR, but it is not the first priority in this situation.
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