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 ["A","B","C"]

Explanation

A. Fetal breathing: Fetal breathing movements are assessed as part of the BPP, which evaluates fetal well-being.

B. Fetal motion: Fetal movements, including limb and body movements, are an essential component of the BPP.

C. Amniotic fluid volume: The amount of amniotic fluid is measured to assess fetal hydration and placental function.

D. Fetal gender: The BPP does not assess fetal gender; it focuses on fetal well-being rather than genetic characteristics.

E. Fetal neck translucency: Nuchal translucency (fetal neck thickness) is assessed during first-trimester ultrasound screening for chromosomal abnormalities, not during a BPP.

A. A client who is experiencing fetal death at 32 weeks of gestation B. A client who is experiencing Braxton-Hicks contractions at 36 weeks of gestation C. A client who is experiencing preterm labor at 26 weeks of gestation D. A client who has a post-term pregnancy at 42 weeks of gestation

Correct Answer is C

Explanation

A. A client who is experiencing fetal death at 32 weeks of gestation: Tocolytic therapy delays preterm labor to improve fetal outcomes. If fetal death has already occurred, there is no benefit in delaying labor.

B. A client who is experiencing Braxton-Hicks contractions at 36 weeks of gestation: Braxton-Hicks contractions are false labor contractions that do not cause cervical changes. Tocolytics are not needed for false labor.

C. A client who is experiencing preterm labor at 26 weeks of gestation: Tocolytic therapy is appropriate for preterm labor before 34 weeks of gestation, especially in very preterm pregnancies (before 28 weeks) to allow for fetal lung maturation and steroid administration.

D. A client who has a post-term pregnancy at 42 weeks of gestation: Tocolytics are used to delay preterm labor, not to stop contractions in post-term pregnancies. A 42-week pregnancy requires induction of labor, not suppression.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","B","C"]

Explanation

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Correct Answer is C

Explanation

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