When assessing a client at 38-weeks gestation, the practical nurse (PN) determines that she has one set of female twins, who are now 6 years old, a son who is 4 years old, and last year she had a fetal loss at 24-weeks gestation. Which is the correct gravidity and parity for this client?

Gravida-4, Para-4.

Gravida-4, Para-3.

Gravida-S, Para-3.

Gravida-5, Para-2.

Answer and Explanation

The Correct Answer is B

A.   Gravida (G) refers to the total number of pregnancies. This option counts all four pregnancies (twins, son, fetal loss) which is correct. Parity (P) refers to the number of pregnancies that have reached viable gestational age (20 weeks or beyond). Since the fetal loss at 24 weeks is included in the count, the parity is incorrectly stated as 4.
B.   Gravida (G) counts all four pregnancies, which is accurate. Parity (P) considers only the pregnancies that reached viable gestational age. As there are two children from the twins, one child aged 4 years, and the fetal loss at 24 weeks (which is not considered as viable gestational age), the correct parity is 3.
C.   Gravida (G) represented as 'S' typically indicates "stillbirths" rather than the total number of pregnancies. It does not provide an accurate representation of all pregnancies, so this is not the correct choice.
D.   Gravida (G) counts five pregnancies, which doesn't accurately represent the scenario as there have been four pregnancies, not five. Parity (P) as 2 doesn't account for the twins, so it's incorrect.

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Correct Answer is C

Explanation

A. Obliterating the entry could make the record look messy and might not meet documentation standards.
B. Notifying the charge nurse might be appropriate for major errors or if the policy requires it, but it might not be necessary for a simple correction like this.
C. Drawing a single line through the erroneous entry and inserting the correct information maintains the integrity of the chart and shows the correction clearly.
D. Charting the correct information in the next column might create confusion about the sequence of data and might not clearly indicate the correction made.

A. Ensure the client has minimal clutter in the room. B. Monitor the client's blood cell laboratory values. C. Assess the client for nerve pain or paralysis. D. Evaluate client's neurological status after exercising.

Correct Answer is A

Explanation

A. Ensuring minimal clutter reduces the risk of falls and injury due to potential bleeding episodes from ITP.
B. Monitoring blood cell laboratory values is important but doesn’t directly prevent physical injury.
C. Assessing for nerve pain or paralysis is essential for overall health but doesn't specifically prevent injury.
D. Evaluating neurological status after exercising is crucial but doesn't directly address the risk of physical injury associated with ITP.

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When assessing a client at 38-weeks gestation, the practical nurse (PN) determines that she has one set of female twins, who are now 6 years old, a son who is 4 years old, and last year she had a fetal loss at 24-weeks gestation. Which is the correct gravidity and parity for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is charting vital signs on a hand-written flow sheet and realizes that an error has been made. What should the PN do to rectify this error?

Correct Answer is C

Explanation

A female client with immune thrombocytopenic purpura (ITP) is transferred to a long-term care facility for physical rehabilitation. To prevent injury, which action is most important for the practical nurse to implement?

Correct Answer is A

Explanation

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