Review Practice Exercise 2

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Practice Exercise 2

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Total Questions : 5

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Question 1:

What is the definition of gravidity in the context of maternal-newborn nursing?

A. The number of pregnancies reaching 20 weeks gestation B. The total number of pregnancies, regardless of outcome C. The number of living children born to a woman D. The number of preterm births before 37 weeks gestation

Answer and Explanation

Choice A:

The number of pregnancies reaching 20 weeks refers to parity, not gravidity. Parity indicates pregnancies that progressed to viability, regardless of whether the fetus was born alive or not.

Choice B:

Gravidity is defined as the total number of times a woman has been pregnant, irrespective of duration or outcome. This includes current pregnancies, miscarriages, abortions, and ectopic pregnancies.

Choice C:

The number of living children refers to the "L" in the GTPAL system (Living), not gravidity. It indicates the number of children currently alive.

Choice D:

The number of preterm births before 37 weeks is captured under "P" in GTPAL, specifically for preterm deliveries, not gravidity.

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Question 2:

A woman is pregnant for the third time. Her first pregnancy resulted in a live birth at 40 weeks, and her second ended in a stillbirth at 28 weeks. What is her gravidity?

A. 1 B. 2 C. 3 D. 4

Answer and Explanation

Choice A:

This would only be correct if she had been pregnant once, which is not the case. She has two completed pregnancies and is currently pregnant.

Choice B:

This excludes the current pregnancy. Gravidity includes all pregnancies, including the ongoing one.

Choice C:

She is currently pregnant for the third time. Gravidity includes all pregnancies: the first (live birth at 40 weeks), the second (stillbirth at 28 weeks), and the current (ongoing) pregnancy. Thus, gravidity = 3.

Choice D:

This would suggest she has had four pregnancies, but the case describes only three: two prior and one current.

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Question 3:

A nurse is assessing a patient who reports four pregnancies: two term births, one preterm birth, and one miscarriage. What is the patient’s GTPAL if all children are living?

A. G4 T2 P1 A1 L3 B. G4 T2 P0 A2 L3 C. G3 T2 P1 A0 L3 D. G4 T1 P1 A2 L2

Answer and Explanation

Choice A:

G4 T2 P1 A1 L3 accurately reflects:

• 4 total pregnancies (G4)

• 2 term births (T2)

• 1 preterm birth (P1)

• 1 miscarriage before 20 weeks (A1)

• All 3 children alive (L3)

Choice B:

This lists 2 abortions (A2), which is incorrect—the patient had only 1 miscarriage. Also, P0 suggests no preterm birth, but one preterm delivery is reported.

Choice C:

G3 undercounts the number of pregnancies. The patient had 4 pregnancies (2 term, 1 preterm, 1 miscarriage), so G should be 4, not 3.

Choice D:

T1 is incorrect—the patient had 2 term births. A2 is also wrong—only one miscarriage is noted. L2 is inaccurate, as all 3 children are alive.

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Question 4:

Which of the following statements accurately describe "gravidity"? Select all that apply.

A. It includes all confirmed pregnancies, regardless of outcome B. It counts individual fetuses in a multiple gestation C. The current pregnancy is included in the count D. It only includes pregnancies that result in live births E. It is synonymous with the number of living children

Answer and Explanation

Choice A:

Gravidity includes all confirmed pregnancies, regardless of outcome—whether the pregnancy ended in miscarriage, abortion, stillbirth, or live birth.

Choice B:

Gravidity does not count fetuses individually. A pregnancy with twins or triplets is still counted as a single pregnancy under gravidity, not multiple.

Choice C:

The current pregnancy is always included in the gravidity count. If a woman is pregnant now and had two previous pregnancies, she is gravida 3.

Choice D:

Gravidity includes all pregnancies, not just those that result in live births. It encompasses miscarriages, ectopic pregnancies, and stillbirths as well.

Choice E:

Gravidity is not synonymous with the number of living children. A woman may be gravida 3 with no living children if all ended in miscarriage or stillbirth.

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Question 5:

Which of the following are included in the parity count? Select all that apply.

A. A term birth at 39 weeks gestation B. A preterm birth at 34 weeks gestation C. A miscarriage at 15 weeks gestation D. A stillbirth at 22 weeks gestation E. An elective abortion at 10 weeks gestation

Answer and Explanation

Choice A:

A delivery at 39 weeks is considered a term delivery. Since it is beyond 20 weeks, it is included in the parity count regardless of the outcome.

Choice B:

A birth at 34 weeks is a preterm delivery. Preterm means between 20 and 36 6/7 weeks. This gestation qualifies as a pregnancy that has progressed beyond 20 weeks and is thus counted in parity.

Choice C:

A miscarriage at 15 weeks is not counted in parity because it occurred before 20 weeks gestation. Pregnancies ending before 20 weeks are classified under gravidity. The fetus was not viable, and the uterus was not exposed to the pregnancy long enough to meet parity criteria.

Choice D:

A stillbirth at 22 weeks qualifies for parity because it exceeds the 20-week threshold. Parity includes pregnancies ending in stillbirth as long as the gestational age was ≥20 weeks.

Choice E:

An elective abortion at 10 weeks does not meet the threshold of 20 weeks gestation and is not included in parity. It is counted only under gravidity. Regardless of the reason for the termination, the pregnancy did not progress far enough for parity.

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Practice Exercise 2

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