Utilize the GTPAL system to classify the obstetrical history of a client who presents for their first prenatal appointment. Obstetrical history includes a vaginal delivery at 26 weeks of a newborn who did not survive, a miscarriage at 8 weeks, and one living child who was delivered at 38 weeks.

G4 T2 P2 A1 L1

G4 T1 P1 A1 L1

G3 T2 P1 A1 L1

G3 T2 P1 A2 L1

Answer and Explanation

The Correct Answer is B

A. G4 T2 P2 A1 L1: The client had one preterm birth at 26 weeks (P1), not two, and the miscarriage counts as an abortion (A1), not as a preterm or term birth. The classification for preterm births should be adjusted to P1, not P2. There is also one term delivery (T1) not two.

B. G4 T1 P1 A1 L1: The client has had 4 pregnancies (G4): one live birth at 38 weeks (T1), one preterm birth at 26 weeks that did not survive (P1), one miscarriage at 8 weeks (A1), and one living child (L1). This is the correct classification.

C. G3 T2 P1 A1 L1: This option is incorrect because the client has had 4 pregnancies, not 3. The correct count should be G4.

D. G3 T2 P1 A2 L1: This option is incorrect because the miscarriage counts as one abortion (A1), not A2, and the client has had 4 pregnancies, not 3. The client has also had one term delivery (T1) not two.

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Correct Answer is A

Explanation

A. Darkened, enlarged breast areola: During the first trimester of pregnancy, hormonal changes cause the areolas to darken and enlarge. This is a common and normal finding as the body prepares for breastfeeding.

B. Deeply fissured nipples: Fissured or cracked nipples are not typically observed in the first trimester of pregnancy. This may occur later when the breasts begin to produce milk, especially during breastfeeding.

C. Enlarged axillary lymph nodes: While some mild enlargement of lymph nodes may occur in response to hormonal changes, this is not a typical or significant finding during the first trimester. Any enlarged lymph nodes should be assessed to rule out other conditions.

D. Slack, soft breast tissue: Breast tissue during the first trimester tends to be firm and may feel more tender or swollen due to hormonal changes, rather than slack and soft. This is a normal part of early pregnancy as the body prepares for future lactation.

A. The infant will need future follow-up for a "nervous" bowel B. Symptoms will decrease if the infant is laid on the back after feedings C. Formula intake should be doubled to keep the infant from losing weight D. Colic symptoms will probably fade at 3 months of age

Correct Answer is D

Explanation

A. The infant will need future follow-up for a "nervous" bowel: Colic is not typically associated with a "nervous" bowel. It is marked by excessive crying and discomfort, often with no underlying gastrointestinal issues. No long-term follow-up for a "nervous" bowel is required.

B. Symptoms will decrease if the infant is laid on the back after feedings: The infant should be placed on their back to sleep to reduce the risk of SIDS, but this is not linked to reducing colic symptoms. Colic is associated factors such as digestive discomfort or overstimulation.

C. Formula intake should be doubled to keep the infant from losing weight: Doubling the formula intake is not recommended for managing colic. Overfeeding can worsen discomfort and lead to other issues like reflux. Colic does not typically result in significant weight loss if the infant is feeding appropriately.

D. Colic symptoms will probably fade at 3 months of age: Colic typically peaks around 6 to 8 weeks of age and begins to decrease by 3 to 4 months of age. Most infants outgrow the condition by this time, and the symptoms usually resolve on their own.

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Utilize the GTPAL system to classify the obstetrical history of a client who presents for their first prenatal appointment. Obstetrical history includes a vaginal delivery at 26 weeks of a newborn who did not survive, a miscarriage at 8 weeks, and one living child who was delivered at 38 weeks.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a client in their first trimester of pregnancy. When assessing the client's breasts, which finding would the nurse likely observe?

Correct Answer is A

Explanation

What information would the nurse include when teaching the parents of an infant about colic?

Correct Answer is D

Explanation

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