In labor, GPTAL is used to assess the client's obstetric history. What does the 'P' in GPTAL stand for?

Parity

Postpartum

Primigravida

Presentation

Answer and Explanation

The Correct Answer is A

A. Parity: In GPTAL (Gravida, Parity, Term, Abortions, Living children), "P" refers to parity, which indicates the number of pregnancies carried to 20 weeks or beyond, regardless of outcome.

B. Postpartum: "Postpartum" refers to the period after childbirth and is not part of the GPTAL system.

C. Primigravida: Primigravida refers to a woman who is pregnant for the first time, which is represented by "G" (Gravida) in GPTAL, not "P."

D. Presentation: "Presentation" refers to the fetal part entering the birth canal first (e.g., cephalic, breech) and is unrelated to GPTAL.

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Correct Answer is D

Explanation

A. "I will need to eat 600 more calories per day because I am pregnant." Pregnant clients with diabetes require careful calorie management. The recommended increase is about 300 kcal/day, not 600, to support fetal growth while maintaining glycemic control.

B. "I will plan my diet based on the results of urine glucose testing." Urine glucose testing is not a reliable indicator of blood glucose control because it does not reflect real-time fluctuations. Clients should base dietary adjustments on blood glucose monitoring.

C. "I can continue with the same diet as before pregnancy as long as it is well balanced." Pregnancy alters insulin needs, requiring dietary modifications to maintain blood glucose control. Carbohydrate intake must be carefully regulated to prevent hyperglycemia.

D. "Diet and insulin needs change during pregnancy." Hormonal changes in pregnancy increase insulin resistance, necessitating adjustments in diet and insulin therapy to maintain optimal blood glucose levels.

A. Feeling irregular contractions that become more frequent, longer, and stronger over time. B. Feeling less energetic and experiencing a decrease in Braxton Hicks contractions. C. Experiencing frequent urination and increased back pain. D. Experiencing a decrease in vaginal discharge and a loss of the mucus plug.

Correct Answer is A

Explanation

A. Feeling irregular contractions that become more frequent, longer, and stronger over time. This describes true labor contractions, which increase in intensity and frequency, leading to cervical changes.

B. Feeling less energetic and experiencing a decrease in Braxton Hicks contractions. Many clients experience a burst of energy (nesting) before labor, not decreased energy. A reduction in Braxton Hicks contractions is not a sign of impending labor.

C. Experiencing frequent urination and increased back pain. While these symptoms can occur due to fetal descent, they are not definitive signs that labor is starting.

D. Experiencing a decrease in vaginal discharge and a loss of the mucus plug. A loss of the mucus plug can occur days before labor, but it does not indicate labor is beginning immediately. Vaginal discharge often increases, not decreases, before labor.

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In labor, GPTAL is used to assess the client's obstetric history. What does the 'P' in GPTAL stand for?

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Naxlex Comprehensive Predictor Exams

During a prenatal visit, the nurse is explaining dietary management to a woman diagnosed with pre-gestational diabetes. Which statement by the client reassures the nurse that teaching has been effective?

Correct Answer is D

Explanation

Which of the following is a sign that childbirth labor is likely to begin?

Correct Answer is A

Explanation

The nurse implements a teaching plan for a pregnant client who is newly diagnosed with gestational diabetes mellitus. Which statement made by the client indicates a need for further teaching?

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