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 C

Explanation

A. "It's a bit too soon. Most babies sit steadily at 4 months": While 2 months is certainly too early for independent sitting, at 4 months, babies often sit with support but true independent, steady sitting typically develops by 6 to 8 months.

B. "Once the first tooth comes in, sitting independently will soon follow": There is no correlation between the eruption of the first tooth and sitting independently. Sitting independently is more related to motor development, not teething.

C. "That's not unusual because most babies do not sit by themselves until about 8 months": While infants can begin to sit with support around 4-6 months, true independent, steady sitting (without support and for extended periods) is typically achieved around 6 to 8 months of age.

D. "That's interesting because most babies sit steadily at 3 months": It is too early for most babies to sit independently at 3 months. Most babies develop the ability to sit independently between 6 to 8 months.

A. Breast tenderness B. Amenorrhea C. Frequent urination D. Positive pregnancy test E. Chadwick sign F. Quickening

Correct Answer is ["A","B","C","F"]

Explanation

A. Breast tenderness: Breast tenderness is a common early sign of pregnancy due to hormonal changes, particularly increased estrogen and progesterone. It is a presumptive sign because it is not unique to pregnancy and can occur with other conditions as well.

B. Amenorrhea: Amenorrhea, or the absence of menstruation, is one of the most common early signs of pregnancy. It is considered presumptive because it can also be caused by other factors such as stress, illness, or hormonal imbalances.

C. Frequent urination: Frequent urination occurs due to hormonal changes and increased blood volume, which leads to more fluid being processed by the kidneys. It is considered a presumptive sign of pregnancy, though it can also occur with other conditions like urinary tract infections.

D. Positive pregnancy test: A positive pregnancy test detects the hormone human chorionic gonadotropin (hCG), which is a probable sign of pregnancy. It is more definitive than a presumptive sign, but it can sometimes result in false positives due to certain medications or other conditions.

E. Chadwick sign: Chadwick's sign, characterized by the bluish tint of the cervix, vagina, and vulva due to increased blood flow, is a probable sign of pregnancy. It is typically observed by a healthcare provider during a physical examination and suggests pregnancy but is not definitive.

F. Quickening: Quickening is the feeling of fetal movement, which typically occurs between 18 and 20 weeks of pregnancy for first-time mothers. It is a presumptive sign because other conditions, such as gas or muscle spasms, can cause similar sensations.

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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 mother of a 2-month-old baby tells the nurse, "I'm worried because my baby isn't able to sit independently." Which response by the nurse would be appropriate?

Correct Answer is C

Explanation

A client who believes they are pregnant is informing the nurse of their pregnancy signs and symptoms. Which of the following findings would the nurse determine are presumptive signs of pregnancy? Select all that apply

Correct Answer is ["A","B","C","F"]

Explanation

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