The nurse is reviewing nurses' notes to determine what the client's obstetric history reveals in the form of GTPAL.

Choose the most likely option for the information missing from the statement by selecting from the list of options provided.
Based on the client's obstetrical history, what is the client's G-T-P-A-L designation?

4-2-1-1-4

5-2-1-1-4

4-3-1-0-4

5-3-1-0-4

Answer and Explanation

The Correct Answer is B

A. G (Gravida): This refers to the total number of pregnancies, including the current pregnancy. Since the client is currently pregnant, and she has had three previous pregnancies and one of which was a spontaneous abortion, the total is 5 (1 current pregnancy + 3 previous births + 1 spontaneous abortion). T (Term births): The client has had two full-term births (one at 38 weeks and one at 41 weeks), so T = 2. P (Preterm births): The client has had one preterm birth (at 35 weeks), so P = 1. A (Abortions/miscarriages): The client had one spontaneous abortion at 10 weeks, so A = 1. L (Living children): The client has four living children, so L = 4.

B. G (Gravida): This refers to the total number of pregnancies, including the current pregnancy. Since the client is currently pregnant, and she has had three previous pregnancies and one of which was a spontaneous abortion, the total is 5 (1 current pregnancy + 3 previous births + 1 spontaneous abortion). T (Term births): The client has had two full-term births (one at 38 weeks and one at 41 weeks), so T = 2. P (Preterm births): The client has had one preterm birth (at 35 weeks), so P = 1. A (Abortions/miscarriages): The client had one spontaneous abortion at 10 weeks, so A = 1. L (Living children): The client has four living children, so L = 4.

C. G (Gravida): This refers to the total number of pregnancies, including the current pregnancy. Since the client is currently pregnant, and she has had three previous pregnancies and one of which was a spontaneous abortion, the total is 5 (1 current pregnancy + 3 previous births + 1 spontaneous abortion). T (Term births): The client has had two full-term births (one at 38 weeks and one at 41 weeks), so T = 2. P (Preterm births): The client has had one preterm birth (at 35 weeks), so P = 1. A (Abortions/miscarriages): The client had one spontaneous abortion at 10 weeks, so A = 1. L (Living children): The client has four living children, so L = 4.

D. G (Gravida): This refers to the total number of pregnancies, including the current pregnancy. Since the client is currently pregnant, and she has had three previous pregnancies and one of which was a spontaneous abortion, the total is 5 (1 current pregnancy + 3 previous births + 1 spontaneous abortion). T (Term births): The client has had two full-term births (one at 38 weeks and one at 41 weeks), so T = 2. P (Preterm births): The client has had one preterm birth (at 35 weeks), so P = 1. A (Abortions/miscarriages): The client had one spontaneous abortion at 10 weeks, so A = 1. L (Living children): The client has four living children, so L = 4.

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Correct Answer is A

Explanation

A. Procure platelet products from the blood bank: UAPs may be delegated non-invasive tasks such as transporting lab specimens or retrieving blood products. This task does not require nursing judgment and is appropriate for delegation under routine supervision.

B. Titrate oxygen to the prescribed parameters: Titrating oxygen requires assessment and clinical judgment, as adjustments depend on vital signs and client condition. This is within the RN or LPN scope, not the UAP’s, due to the potential for rapid status changes.

C. Insert a urinary catheter for an uncomplicated client: Insertion of catheters is an invasive procedure that requires sterile technique and knowledge of anatomy. This task must be performed by a licensed nurse, not a UAP, even in uncomplicated cases.

D. Monitor an IV infusion rate on an established schedule: Although observation is within the UAP role, monitoring IV infusions involves understanding flow rates, recognizing signs of infiltration or complications, and making clinical decisions, all of which exceed UAP scope.

A. "Only your son can decide to who the laboratory results can be shared with." B. "I can give you those results as soon as I get them back from the laboratory." C. "I need to wait for the results of other tests before I can share the information to you." D. "Let us wait for the healthcare provider to come and share this information with you."

Correct Answer is A

Explanation

A. "Only your son can decide to who the laboratory results can be shared with."
Since the client is 18 years old, he is legally an adult and has the right to confidentiality regarding his medical information. The nurse should inform the mother that the son must provide consent before sharing any test results with her.

B. "I can give you those results as soon as I get them back from the laboratory." The nurse cannot release the results to the mother without the client's consent, as he is an adult and his medical information is confidential.

C. "I need to wait for the results of other tests before I can share the information to you." The nurse’s ability to share the results with the mother is based on the client’s consent, not on waiting for other tests.

D. "Let us wait for the healthcare provider to come and share this information with you." While it may be helpful for the healthcare provider to discuss the results, the key issue here is the client's consent. The nurse should clarify that the client is the one who must authorize sharing the results.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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