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The nurse is reviewing the pregnant client's obstetrical history and learns that the client had two prior pregnancies. She had a miscarriage with the first pregnancy at 8 weeks. The second pregnancy was twin girls born at 34 weeks but died 3 days later. How should the nurse record this information?

A.

G2T0P0A0L2

B.

G2T2P2A1L0

C.

G3T0P2A1L0

D.

G3T0P1A1L0

Answer and Explanation

The Correct Answer is D

A. G2T0P0A0L2:
This indicates only two pregnancies and no abortions or preterm deliveries, but this client is in her third pregnancy, and had an abortion and a preterm birth.

B. G2T2P2A1L0:
Suggests term twins, which is inaccurate; twins at 34 weeks are preterm, and this also miscounts gravidity.

C. G3T0P2A1L0:
Suggests two preterm deliveries, but there was only one delivery of preterm twins, which counts as one parity event.

D. G3T0P1A1L0:
 

  • G3: Three pregnancies (current pregnancy + 2 past)
  • T0: No term births
  • P1: One preterm delivery (twins at 34 weeks count as one delivery)
  • A1: One abortion (miscarriage at 8 weeks)
  • L0: No living children (twins died after 3 days)


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Related Questions

Correct Answer is C

Explanation

A. engagement, flexion, internal rotation, restitution, descent, extension, external rotation, expulsion: Incorrect order; descent should come before flexion.

B. engagement, flexion, descent, internal rotation, extension, restitution, external rotation, expulsion: Again, descent occurs earlier, right after engagement.

C. engagement, descent, flexion, internal rotation, extension, restitution, external rotation, expulsion: This is the proper sequence of the cardinal movements during labor.

D. flexion, engagement, internal rotation, external rotation, restitution, descent, extension: Flexion happens after engagement, not before.

Correct Answer is D

Explanation

A. Restore fluid and electrolyte imbalance during labor
There's no evidence of electrolyte imbalance.

B. Prevent dehydration from N/V
Dehydration isn’t the key reason here.

C. Increase FHR variability before anesthesia
IV fluids don’t affect FHR variability directly.

D. Increase maternal blood volume to prevent hypotension
Hypotension is a common side effect of epidurals, and a fluid bolus helps prevent it.

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