Maria is pregnant for the second time. She has a 5-year-old daughter who was born at 39 weeks gestation. What is her GTPAL?

G1. TO. PO. AO L

G2, TO, P1. AD. L

G3, TO, PO, AO, LO

G2, T1, PO, AO, L1

Answer and Explanation

The Correct Answer is D

A. G1, T0, P0, A0, L1: Maria is in her second pregnancy, not her first, so the G (Gravida) should be 2.

B. G2, T0, P1, A0, L1: Maria delivered her child at term (39 weeks), not preterm, so "P" (preterm births) should be 0, and "T" (term births) should be 1.

C. G3, T0, P0, A0, L0: Maria is only in her second pregnancy, so "G" should be 2, and she has one living child, so "L" should be 1.

D. G2, T1, P0, A0, L1. "G" (Gravida) is 2 because she is pregnant for the second time. "T" (Term) is 1 because she had one term pregnancy that resulted in the birth of her daughter. "P" (Preterm) is 0 because she has no preterm births. "A" (Abortions) is 0 because she has had no miscarriages or abortions. "L" (Living children) is 1 because she has one living child.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Hyperemesis gravidarum: Hyperemesis gravidarum is severe nausea and vomiting that leads to dehydration, electrolyte imbalances, and weight loss. However, this client has not experienced weight loss, and the prune-colored discharge is not a sign of this condition.

B. Preterm labor: Preterm labor typically involves contractions and cervical dilation. At 4 months, preterm labor is not likely, and the prune-colored discharge and larger-than-expected fundal height are not signs of preterm labor.

C. Hydatidiform mole: A hydatidiform mole (molar pregnancy) is characterized by abnormal placental development, leading to larger-than-expected fundal height, continued nausea and vomiting, and prune-colored vaginal discharge due to bleeding from the uterus. These findings align with the client's symptoms.

D. Threatened abortion: A threatened abortion involves vaginal bleeding in early pregnancy without the expulsion of the fetus. This condition is typically associated with cramping and a smaller fundal height, which is not seen in this case.

A. Prepare the client for admission to the hospital B. Document the findings as expected in the client records. C. Repeat the contraction stress test in 24 hr. D. Check the client's cervix for dilation.

Correct Answer is A

Explanation

A. Prepare the client for admission to the hospital. A positive contraction stress test indicates that there are late decelerations of the fetal heart rate with contractions, suggesting that the fetus may not tolerate labor well. Hospital admission is often necessary for further monitoring and possible intervention.

B. Document the findings as expected in the client records. A positive contraction stress test is an abnormal finding, not an expected one. It indicates potential fetal distress and requires immediate attention.

C. Repeat the contraction stress test in 24 hr. If the test is positive, further immediate action is needed, such as close monitoring or possible delivery, rather than waiting 24 hours to repeat the test.

D. Check the client's cervix for dilation. While cervical dilation may be assessed if the client is in labor, this action does not address the immediate concern of fetal distress indicated by a positive contraction stress test.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Maria is pregnant for the second time. She has a 5-year-old daughter who was born at 39 weeks gestation. What is her GTPAL?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A nurse is caring for a client who is at 38 weeks of gestation and has a positive contraction stress test. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse in a prenatal clinic is determining a client’s estimated date of delivery using Naegels rule. The first day of her last menstrual period was May 4. Which of the following dates should the nurse tell the client is her estimated date of delivery?

A nurse is reinforcing teaching with a client who is being fitted for a contraceptive diaphragm. Which of the following information should the nurse include?

A nurse is reinforcing teaching with a newly licensed nurse about the complications associated with maternal gestational diabetes. Which of the following complications should the nurse include?

A nurse is assisting with the admission of a client who is at 10 weeks of gestation and reports abdominal pain and moderate vaginal bleeding. Incomplete abortion is the initial diagnosis. Which of the following actions should the nurse contribute to the client's plan of care?

A nurse is caring for a client who is pregnant and undergoing a nonstress test. The nurse records the FHR as 130 to 150/min, with no fetal movement for 15 min. Which of the following actions should the nurse take?

A nurse is caring for a client who is at 34 weeks of gestation and has a suspected placenta previa. Which of the following actions should the nurse take?

A nurse is assisting the nurse manager with an educational session about ways to prevent TORCH infection during pregnancy with a group of newly licensed nurses. Which of the following statements by one of the session participants indicates understanding?

A nurse is caring for a client who tells the nurse that she thinks she might be pregnant because she is able to feel the baby move. Which of the following statements should the nurse make?