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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Acknowledging the general demographics of the disease might indicate understanding but does not explicitly show acceptance of the prognosis.
B. This statement reflects a level of acceptance as the client has found support and comfort from faith and family, indicating a more positive coping mechanism.
C. This statement indicates a sense of disbelief or denial rather than acceptance of the prognosis.
D. Rejecting others' negative statements about the disease doesn’t necessarily indicate acceptance of one's prognosis; it may reflect resistance or denial.
Correct Answer is B
Explanation
A. Wrapping the infant with a warm blanket might provide comfort but may not directly address the signs of discomfort or pain.
B. Giving the prescribed analgesic is essential to alleviate the infant's discomfort or pain following a surgical procedure like pylorotomy.
C. Obtaining blood glucose level might be necessary in certain situations but does not directly address the observed signs of discomfort and pain in the infant.
D. Burping the infant every two hours may relieve gas but does not address the symptoms of restlessness, grimacing, and drawing knees to the chest, which are indicative of pain or discomfort post-surgery.
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