When reading the obstetrical history of a client who is currently at 36 weeks gestation, the nurse notes that she has had one full-term infant, one premature infant born at 32 weeks gestation that survived, and one miscarriage.
Which is this client's gravidity?

Choice A rationale

Gravidity refers to the total number of times a woman has been pregnant, regardless of the outcome. This client has had one full-term infant, one premature infant, and one miscarriage, plus the current pregnancy, making a total of four pregnancies.

Choice B rationale

Gravidity is not determined by the number of live births. This client has had more than three pregnancies, so Gravida 3 is incorrect.

Choice C rationale

Gravidity does not count the number of live births and miscarriages separately. It counts the total number of pregnancies, making Gravida 5 incorrect in this context.

Choice D rationale

Gravida 2 would only apply if the client had been pregnant twice, which is not the case here.

Choice A rationale

Flexion of all four extremities is a normal finding in newborns but does not specifically indicate successful transition to extrauterine life. It suggests good muscle tone, which is important, but vigorous crying is a more direct sign of effective respiratory effort and lung function.

Choice B rationale

A positive Babinski reflex is a normal reflexive response in newborns, indicating proper neurological function. However, it does not provide direct information about the newborn's respiratory or cardiovascular adaptation to life outside the womb.

Choice C rationale

Crying vigorously when stimulated is a strong indicator that the newborn is transitioning well to extrauterine life. It demonstrates that the infant's lungs are functioning properly, and they are capable of clearing airway secretions and maintaining adequate oxygenation, which are critical for survival outside the uterus.

Choice D rationale

A heart rate of 220 beats/minute is significantly higher than the normal range for newborns (120-160 beats/minute). Such tachycardia could indicate stress, dehydration, or underlying cardiac issues and does not reflect a normal transition to extrauterine life. .