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.

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Correct Answer is A

Explanation

Choice A rationale

Blood pressure should be addressed first due to the client’s elevated BP (144/92 mmHg), which is a potential sign of complications such as preeclampsia.

Choice B rationale

Pulse of 99 bpm is slightly elevated but not immediately concerning compared to the high BP.

Choice C rationale

Respirations are within normal range (17/min) and do not require immediate intervention.

Choice D rationale

Temperature of 100.4°F (38.0°C) is slightly elevated but not as critical as the high BP.

A. G4T1 P1 A1 L2. B. G5T2 P0 A2 L2. C. G5T1 P1 A2 L2. D. G5T1 P1 A1 L3. .

Correct Answer is C

Explanation

Choice A rationale

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.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

Correct Answer is C

Explanation

A nurse in a prenatal clinic is caring for a client who is pregnant and asks the nurse for her estimated date of birth (EDB). The client's last menstrual period began on October 17. What is the client's EDB? (State the date in MMDD. For example, October 17 is 1017)

A client suspects she is pregnant.The nurse is discussing the probable signs of pregnancy with the client.Which of the following findings should the nurse include?

Which of the following statements about Group B Streptococcus (GBS) in pregnancy is true?

A nurse is caring for a 28-year-old female client in the fourth stage of labor after a vaginal delivery in the labor and delivery unit. Exhibits Which of the following assessment findings require follow-up? Select All That Apply.

A nurse is caring for a female client in labor in the labor and delivery unit. Exhibits Complete the following Bowtie question by selecting 1 condition, 2 parameters to monitor, and 2 actions to take.

A nurse is receiving a report on a new postpartum admission.Her medical history includes chronic hypertension.The client is asking about postpartum orders.Which of the following would be contraindicated based on the client's medical history?

A nurse in the antepartum unit is caring for a client who is at 36 weeks of gestation and has preeclampsia.Suddenly, the client reports continuous severe abdominal pain and vaginal bleeding.The nurse should suspect which of the following complications?

A nurse is admitting a client in labor who is HIV positive.Which intervention is contraindicated for this client?