You are admitting a pregnant female. She tells you she has 3 children. She has 3-year-old twins that were born at 35 weeks but her 8-year-old was born at 40 weeks. She also tells you she has not had any abortions or miscarriages. What is her GTPAL?
3.1.0.1.1.
41.0.1.1
4.1.1.0.3
3.1.1.0.3
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["On her left side"]
Explanation
Sleeping on the left side enhances venous return and optimizes uteroplacental blood flow by preventing compression of the inferior vena cava and aorta by the gravid uterus. This position promotes better oxygen and nutrient delivery to the fetus while reducing maternal hypotension, dizziness, and edema. Supine or right-side sleeping can impair circulation, leading to decreased cardiac output and fetal perfusion, especially in later pregnancy.
Correct Answer is ["40% to 50%"]
Explanation
A maternal blood volume increase of approximately 40% to 50% occurs during pregnancy to meet the heightened metabolic demands of the mother and fetus. This expansion enhances uteroplacental perfusion, compensates for blood loss at delivery, and maintains adequate circulation despite reduced systemic vascular resistance. The increased plasma volume also contributes to physiologic anemia of pregnancy due to hemodilution but is essential for sustaining optimal fetal oxygenation and nutrient transport.
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