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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, twins were born at 34 weeks of gestation, and another child was born at 35 weeks of gestation.

What is her gravidity and parity using the GTPAL System?

A.

G4 T1 P2 A0 L3

B.

G4 T2 P1 A0 L3

C.

G4 T3 P1 A0 L3

D.

G4 T1 P1 A0 L4

Answer and Explanation

The Correct Answer is D

  • G (Gravida): Total number of pregnancies → 4

  • T (Term births): Delivered at 37 weeks or more → One (39 weeks) → T = 1

  • P (Preterm births): Delivered between 20–36 weeks → Twins (34 weeks, 1 pregnancy) + One at 35 weeks = 2 preterm pregnancies → P = 2

  • A (Abortions): Pregnancies ending before 20 weeks → 0

  • L (Living children): One from term birth, two from twins, and one from the other preterm = 4 living children → L = 4

Correct Answer: D. G4 T1 P2 A0 L4

 


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Related Questions

Correct Answer is A

Explanation

Choice A rationale
Methylergonovine is a medication that is primarily used to prevent or treat excessive bleeding after childbirth. It works by increasing the rate and strength of contractions and the stiffness of the uterus muscles, which helps to decrease bleeding. This medication is given in a hospital or clinic setting. Therefore, the nurse should inform the client that this medication is intended to prevent postpartum hemorrhage.
Choice B rationale
While preventing postpartum infection is important, methylergonovine is not specifically used for this purpose. Postpartum infection is typically prevented and treated with antibiotics and good hygiene practices.
Choice C rationale
Thromboembolic events, such as blood clots, can be a risk after childbirth. However, methylergonovine is not used to prevent these events. Anticoagulant medications are typically used to prevent thromboembolic events.
Choice D rationale
Methylergonovine is not used to prevent hypertension. In fact, it can cause increased blood pressure as a side effect. Therefore, it would not be used as a preventative measure for hypertension.

Correct Answer is B

Explanation

Choice A rationale
While cigarette smoking can increase the risk of many complications during pregnancy, including placental abruption, it is not the most common risk factor. Smoking can cause constriction and damage to the blood vessels in the placenta, but other factors, such as hypertension, are more commonly associated with placental abruption.
Choice B rationale
Hypertension is the most common risk factor for placental abruption. High blood pressure can cause damage to the blood vessels in the placenta, leading to abruption. Chronic hypertension, gestational hypertension, and preeclampsia can all increase a woman’s risk of experiencing a placental abruption.
Choice C rationale
Blunt force trauma, such as that experienced in a car accident or a fall, can cause placental abruption, but it is not the most common risk factor. Any trauma to the abdomen during pregnancy should be evaluated by a healthcare provider to assess for potential complications, including placental abruption.
Choice D rationale
Cocaine use can increase the risk of placental abruption. Cocaine causes intense vasoconstriction, which can compromise the blood flow to the placenta and lead to abruption. However, it is not the most common risk factor for this condition.

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