The nurse in an OB clinic is completing an intake assessment of a client at the first prenatal appointment.
The client is currently 9 weeks pregnant.
She had a miscarriage at 7 weeks and an ectopic pregnancy at 6 weeks that was treated with methotrexate.
Her five-year-old son was born vaginally at 39 weeks and her three-year-old daughter was born vaginally at 35 weeks.
What is her GTPAL?

G4T1 P1 A1 L2.

G5T2 P0 A2 L2.

G5T1 P1 A2 L2.

G5T1 P1 A1 L3. .

Answer and Explanation

The Correct Answer is C

Choice A rationale

G4T1 P1 A1 L2 implies the client has been pregnant 4 times, with 1 term birth, 1 preterm birth, 1 abortion, and 2 living children. This does not include the correct number of pregnancies or abortions for this client.

Choice B rationale

G5T2 P0 A2 L2 indicates 5 pregnancies, 2 term births, no preterm births, 2 abortions, and 2 living children. This does not correctly account for the preterm birth and abortion history provided.

Choice C rationale

G5T1 P1 A2 L2 is the correct answer, as it denotes 5 pregnancies (including the current one), 1 term birth, 1 preterm birth, 2 abortions, and 2 living children, aligning with the client's history.

Choice D rationale

G5T1 P1 A1 L3 indicates 5 pregnancies, 1 term birth, 1 preterm birth, 1 abortion, and 3 living children. The client has only 2 living children, so this is incorrect.

Nursing Test Bank

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Correct Answer is B

Explanation

Choice A rationale

Copious vernix is typically found on preterm newborns, not those born post-term.

Choice B rationale

Dry, cracked skin is a common finding in post-term newborns due to prolonged exposure to amniotic fluid.

Choice C rationale

Decreased subcutaneous fat is more likely in preterm newborns, while post-term newborns might lose some fat due to nutrient depletion.

Choice D rationale

Scant scalp hair is more common in preterm infants, whereas post-term infants usually have more developed hair. .

A. Advise the client it is safest to administer in the third trimester. B. Advise the client it would be best to get the vaccine during her next attempt to get pregnant. C. Advise the client it is best to receive the vaccine immediately to minimize risk to the fetus. D. In postpartum, prior to being discharged from the hospital.

Correct Answer is D

Explanation

Choice A rationale

Administering the rubella vaccine during pregnancy, including the third trimester, is contraindicated due to the risk of live vaccine transmission to the fetus. It is not recommended at any stage of pregnancy.

Choice B rationale

Advising the client to get the vaccine during her next pregnancy attempt is partly correct but lacks the immediacy needed to ensure she is immune before the next pregnancy. The vaccine should be given postpartum.

Choice C rationale

Administering the vaccine immediately during pregnancy is contraindicated due to potential risks to the fetus. Rubella vaccines contain live virus, which can cause fetal harm if given during pregnancy.

Choice D rationale

It is safest to administer the rubella vaccine postpartum, prior to hospital discharge, to ensure the client has immunity before any future pregnancies. This timing prevents any risk to the current fetus and ensures future fetal protection. .

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a newborn who was born at 42 weeks of gestation.Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is caring for a client during the second trimester of pregnancy.After reviewing the client's blood work, the nurse notes the client is rubella non-immune.When should the client be offered the rubella immunization?

Correct Answer is D

Explanation

A nurse is preparing to administer betamethasone 12mg IM to a client at 32 weeks gestation at risk for preterm delivery. Betamethasone is available as 6mg/ml. How many ml will the nurse prepare for injection? (Use a leading zero, if it applies. Do not use a trailing zero)

A nurse is caring for a client who experienced a cesarean birth due to dysfunctional labor.The client states that she is disappointed that she did not have natural childbirth.Which of the following responses should the nurse make?

A nurse is caring for a client who is postpartum and finds the fundus boggy and displaced to the right.Based on these findings, which of the following actions should the nurse take?

A nurse is caring for a newborn and assessing newborn reflexes.To elicit the Moro (or startle) reflex, the nurse should take which of the following actions?

A nurse is caring for a client who was admitted in preterm labor at 33 weeks gestation.The provider has ordered betamethasone 12 mg IM every 24 hours.Before administering the medication, what should the nurse include in client teaching?

A nurse is assessing a client who is 4 hours postpartum following a vaginal delivery.Which of the following findings should the nurse identify as the priority?

A nurse is reviewing ways to prevent a TORCH infection during pregnancy with a group of newly licensed nurses.Which statement by the nurse indicates understanding of the teaching?