You are admitting a pregnant female patient. She tells you she has 2 children: both were single births. Her oldest was born at 39 weeks and her youngest was born at 30 weeks. She had 2 miscarriages between her oldest and youngest. One at 12 weeks and the other at 8 weeks. What is her GP?
The Correct Answer is ["G5 P2"]
G (Gravida) refers to the total number of pregnancies, including the current one, regardless of outcome. In this case, she has had two previous live births, two miscarriages, and is currently pregnant, totaling 5 pregnancies.
P (Para) counts pregnancies that reached 20 weeks gestation or more, regardless of whether the infant was born alive or stillborn. Here, one child was born at 39 weeks and one at 30 weeks, so she has had 2 pregnancies reaching viability. Miscarriages before 20 weeks are not included in para.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Fetal position is typically determined by the relationship of the fetal presenting part (usually the back of the head, or occiput) to the maternal pelvis. The baby's head is presenting, and the occiput (the small, diamond-shaped posterior fontanelle) is pointed toward the front. The occiput is pointed toward the mother's left side, toward the anterior (front) quadrant of the mother's pelvis. Therefore, the position is Left Occiput Anterior (LOA)
Correct Answer is D
Explanation
A. 3.1.0.1.1: This notation is incorrect because it indicates only one living child, whereas the client has three living children. Additionally, the preterm birth category should account for the twin delivery at 35 weeks.
B. 4.1.0.1.1: This suggests four pregnancies, but the client is currently pregnant with her third. Gravida should be 3, not 4, since she has had two prior pregnancies and is now pregnant again.
C. 4.1.1.0.3: This implies four pregnancies and one abortion, which does not align with the history provided. The client clearly stated she has had no miscarriages or abortions.
D. 3.1.1.0.3: Gravida (3) includes the current pregnancy and two prior pregnancies. Term (1) reflects the 8-year-old born at 40 weeks, Preterm (1) represents the twins born at 35 weeks, Abortions (0) indicates none, and Living (3) includes all three living children. This notation correctly represents her obstetric history.
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