Safe Maternity Pediatric Nursing By Care Palmer Coats - Test Bank Instant Download - Complete Test Bank With Answers Sample Questions Are Posted Below Chapter 5: Antepartal Nursing Assessment Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. The nurse cares for …
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Sample Questions Are Posted Below
Chapter 5: Antepartal Nursing Assessment
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse cares for a newly diagnosed pregnant woman with a history of three spontaneous abortions in the first trimester and an emergency Cesarean section because of breech presentation with her last pregnancy. Which health-care provider is most appropriate to care for this patient?
| 1) | Family physician |
| 2) | Obstetrician-gynecologist |
| 3) | Certified nurse midwife |
| 4) | Doula |
____ 2. A woman arrives at the clinic and tells the nurse she thinks she is pregnant. Which symptom, as related by the patient, does the nurse consider the best indicator of pregnancy?
| 1) | Amenorrhea |
| 2) | Irritability |
| 3) | Positive urine human chorionic gonadotropin (hCG; home test) |
| 4) | Enlarged abdomen |
____ 3. Which information should the nurse include when teaching a pregnant patient who is scheduled to have an abdominal ultrasound?
| 1) | Pain medication will be administered before the procedure. |
| 2) | Do not eat or drink anything for 4 hours prior to the procedure. |
| 3) | The probe will be inserted through the vagina. |
| 4) | Do not empty your bladder prior to the procedure. |
____ 4. Using Naegele’s rule, calculate the estimated date of delivery for a patient whose first day of the last menstrual period was October 8, 2016.
| 1) | July 15, 2017 |
| 2) | January 1, 2017 |
| 3) | July 1, 2016 |
| 4) | June 14, 2017 |
____ 5. The nurse is collecting a patient’s personal information to contribute to the client history. How should the nurse question the woman regarding physical abuse and safety in her living situation?
| 1) | “Does your significant other ever hit you?” |
| 2) | “Are you happily married?” |
| 3) | “Tell me about your home life.” |
| 4) | “Tell me about your husband.” |
____ 6. The clinical instructor observes a student nurse collecting the client history of a new prenatal patient. Which question asked by the student indicates that he or she needs further education?
| 1) | “Do you use drugs?” |
| 2) | “Have you ever been pregnant before?” |
| 3) | “Are your parents and siblings living?” |
| 4) | “What is your current living situation?” |
____ 7. A woman comes for her first prenatal visit and learns the obstetrician will perform a complete physical examination. She asks the nurse, “Why is a complete physical required?” Which is the nurse’s best response?
| 1) | “Your general health will influence your pregnancy, so the doctor needs to do a complete examination.” |
| 2) | “If you have health problems, the doctor needs to know so you can receive the treatment you need to return to health.” |
| 3) | “This is a requirement for all newly pregnant women because the doctor wants to learn as much about you as possible.” |
| 4) | “The doctor wants to make sure that the baby is healthy and that your pregnancy will progress without complications.” |
____ 8. The nurse reviews a patient’s medical record and sees the measurement of the ischial tuberosity is 8.5 cm. How does the nurse interpret this measurement?
| 1) | The woman may be unable to carry the pregnancy to term. |
| 2) | The woman has an adequate blood supply to the fetus. |
| 3) | The woman may require a Cesarean section. |
| 4) | The woman will experience a prolonged labor. |
____ 9. Which laboratory test does the nurse recognize as not part of the routine order set required for pregnant women?
| 1) | Complete blood cell count (CBC) |
| 2) | Blood type and Rh |
| 3) | Papanicolaou (PAP) screen |
| 4) | Serum calcium level |
____ 10. A pregnant woman looks over the required laboratory tests and asks the nurse why they need a rubella titer and varicella titer when she knows she has already received these immunizations as a child. Which is the nurse’s best response?
| 1) | “We have to be sure that you actually received these vaccines.” |
| 2) | “Some people require booster shots to attain full immunity.” |
| 3) | “Maybe the doctor didn’t notice that you reported having had the vaccines.” |
| 4) | “Even when people have received the vaccine, they still need to be tested for immunity.” |
____ 11. The nurse reviews a woman’s quadruple screen. Which finding indicates a higher risk for Down syndrome in the fetus?
| 1) | Elevated alpha-fetoprotein level |
| 2) | Elevated hCG level |
| 3) | Elevated unconjugated estriol level |
| 4) | Low level of inhibin A |
____ 12. Which potential complication is the nurse unlikely to associate with amniocentesis?
| 1) | Spontaneous abortion |
| 2) | Leaking of amniotic fluid |
| 3) | Infection |
| 4) | Maternal liver damage |
____ 13. At which point will the nurse begin scheduling a pregnant woman for weekly obstetric visits?
| 1) | 22 weeks |
| 2) | 28 weeks |
| 3) | 36 weeks |
| 4) | 38 weeks |
____ 14. A patient is late for her prenatal visit, and when she arrives she blames symptoms, suggesting a urinary tract infection for her late arrival. Upon examination, the nurse finds mild spotting and notes bruising on the woman’s abdomen. What does the nurse suspect?
| 1) | Preterm labor |
| 2) | Placental abruption |
| 3) | Pre-eclampsia |
| 4) | Domestic abuse |
____ 15. The nurse caring for a woman at 32 weeks’ gestation finds elevated protein and nitrate levels in the urine. What will the nurse assess for next?
| 1) | Symptoms of pre-eclampsia |
| 2) | Symptoms of a urinary tract infection |
| 3) | Symptoms of gestational diabetes |
| 4) | Inadequate nutrition |
____ 16. The nurse admits a patient who arrives late for her appointment. The examination demonstrates vaginal spotting, anxiety and depression, reports of alcohol abuse, and bruising on the chest and abdomen. Which question is most appropriate for the nurse to ask?
| 1) | “Do you have reliable transportation?” |
| 2) | “Have you considered giving the baby up for adoption?” |
| 3) | “Are you experiencing any rhythmic abdominal pain?” |
| 4) | “Has your partner ever hit you during a fight?” |
____ 17. The nurse is unable to locate fetal heart tones in a woman who is at 10 weeks’ gestation. What is the nurse’s priority action?
| 1) | Reassuring the woman that this is a normal finding |
| 2) | Notifying the provider immediately |
| 3) | Recommending complete bedrest |
| 4) | Scheduling the patient for an abdominal ultrasound |
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 18. The nurse reviews a pregnant patient’s medical record and sees G5, T2, P5, A1, L5. Which statements reflect an accurate analysis of this information? (Select all that apply.)
| 1) | The woman has been pregnant a total of five times, including the current pregnancy. |
| 2) | The woman requested to have one pregnancy terminated. |
| 3) | Two of the children born alive died after birth. |
| 4) | One pregnancy resulted in the birth of quintuplets. |
| 5) | The woman adopted one of her children. |
____ 19. The nurse is examining a woman who is at 20 weeks’ gestation. Which findings does the nurse consider appropriate at this stage of pregnancy? (Select all that apply.)
| 1) | Fundal height – 20 cm |
| 2) | Fetal heart rate – 148 bpm |
| 3) | Quickening |
| 4) | +1 glycosuria |
| 5) | 3-lb weight loss |
Completion
Complete each statement.
G___T___P___A___L___
Chapter 5: Antepartal Nursing Assessment
Answer Section
MULTIPLE CHOICE
Chapter number and title: 5: Antepartal Nursing Assessment
Chapter learning objective: Describe scopes of practice and roles of members of the health-care team, specifically the family practice physician, an obstetrician, and a certified nurse midwife.
Chapter page reference: 55
Heading: Selection of Health-Care Provider
Integrated processes: Clinical Problem-Solving Process
Client need: Coordinated Care
Cognitive level: Application [Applying]
Concept: Pregnancy
Difficulty: Easy
| Feedback | |
| 1 | The family physician is qualified to manage uncomplicated pregnancies, but this woman’s pregnancy history indicates a risk for complications; thus, she needs more specialized care. |
| 2 | The obstetrician-gynecologist specializes in the care of pregnant women from preconception planning to postpartum recovery and is most appropriate to care for a patient with a history of complications. |
| 3 | The nurse midwife cares for women at low risk, and this woman’s history of complications indicates the need for more specialized care. |
| 4 | A doula supports the woman and family during childbirth but does not have the education or ability to deliver a baby independently; she is inappropriate to care for a mother with a history of complications. |
PTS: 1 CON: Pregnancy
Chapter number and title: 5: Antepartal Nursing Assessment
Chapter learning objective: Discuss diagnostic testing to confirm pregnancy.
Chapter page reference: 59-60
Heading: Diagnosis of Pregnancy
Integrated processes: Clinical Problem-Solving Process
Client need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Pregnancy
Difficulty: Moderate
| Feedback | |
| 1 | Although amenorrhea is often the first sign a woman notices, it can be caused by other conditions; thus, it is not the best indicator of pregnancy. |
| 2 | Irritability is not an expected sign of pregnancy and can be caused by any number of factors, so it is not the best indicator of pregnancy. |
| 3 | A positive hCG result is the best indicator of pregnancy because this hormone is released only during a developing pregnancy. |
| 4 | An enlarged abdomen is not the best indicator of pregnancy, because it can be caused by a number of factors. |
PTS: 1 CON: Pregnancy
Chapter number and title: 5: Antepartal Nursing Assessment
Chapter learning objective: Discuss diagnostic testing to confirm pregnancy.
Chapter page reference: 59-60
Heading: Diagnosis of Pregnancy
Integrated processes: Teaching and Learning
Client need: Health Promotion and Maintenance
Cognitive level: Application [Applying]
Concept: Pregnancy
Difficulty: Moderate
| Feedback | |
| 1 | There is only mild pressure on the abdomen during the procedure, so there is no need for analgesia. |
| 2 | Women will be required to push fluids in order to enter the procedure with a full bladder. |
| 3 | A transvaginal ultrasound, not an abdominal ultrasound, requires insertion of the probe into the vagina. |
| 4 | It is important for the patient to have a full bladder during the procedure, so teaching her not to empty her bladder is important. |
PTS: 1 CON: Pregnancy
Chapter number and title: 5: Antepartal Nursing Assessment
Chapter learning objective: Determine the estimated date of delivery using Naegele’s rule.
Chapter page reference: 55
Heading: Determining the Estimated Date of Delivery
Integrated processes: Clinical Problem-Solving Process
Client need: Health Promotion and Maintenance
Cognitive level: Analysis [Analyzing]
Concept: Pregnancy
Difficulty: Difficult
| Feedback | |
| 1 | To calculate the due date, subtract 3 months (October – 3 months = July) and add 7 days (8 + 7 = 15), resulting in an estimated delivery date of July 15, 2017. |
| 2 | To calculate the due date, subtract 3 months (October – 3 months = July) and add 7 days (8 + 7 = 15), resulting in an estimated delivery date of July 15, 2017. |
| 3 | To calculate the due date, subtract 3 months (October – 3 months = July) and add 7 days (8 + 7 = 15), resulting in an estimated delivery date of July 15, 2017. |
| 4 | To calculate the due date, subtract 3 months (October – 3 months = July) and add 7 days (8 + 7 = 15), resulting in an estimated delivery date of July 15, 2017. |
PTS: 1 CON: Pregnancy
Chapter number and title: 5: Antepartal Nursing Assessment
Chapter learning objective: Describe how patient-centered care is dependent upon a thorough past medical history, cultural history, social history, and pregnancy history.
Chapter page reference: 56-57
Heading: Initial Client History
Integrated processes: Clinical Problem-Solving Process
Client need: Health Promotion and Maintenance
Cognitive level: Application [Applying]
Concept: Pregnancy
Difficulty: Difficult
| Feedback | |
| 1 | A closed-ended question such as this, especially early in the nurse-patient relationship when trust has yet to be developed, is most likely going to be answered “no.” |
| 2 | The patient may or may not be married, and this is a closed-ended question that will return only a “yes” or “no” answer. |
| 3 | This question is open-ended and makes no assumptions about the living situation; thus, it is most likely to return information that allows the nurse to question her further depending on what is said. |
| 4 | There are many different lifestyles, and not all pregnant women are married, so this question makes assumptions that may not be based in reality and could offend the patient. |
PTS: 1 CON: Pregnancy
Chapter number and title: 5: Antepartal Nursing Assessment
Chapter learning objective: Describe how patient-centered care is dependent upon a thorough past medical history, cultural history, social history, and pregnancy history.
Chapter page reference: 56-57
Heading: Initial Client History
Integrated processes: Clinical Problem-Solving Process
Client need: Health Promotion and Maintenance
Cognitive level: Application [Applying]
Concept: Pregnancy
Difficulty: Difficult
| Feedback | |
| 1 | Although it is important to learn about drug use, many patients do not consider alcohol or tobacco to be drugs and may not share this information. It is better to be specific and ask if the patient drinks alcohol or uses any tobacco products and then question her medication and drug use. |
| 2 | It is appropriate to ask if the woman has ever been pregnant before. |
| 3 | Asking if parents and siblings are still alive tells the nurse if there is a need to question further about cause(s) of death, depending upon how the patient answers. |
| 4 | Asking about the current living situation begins the process of learning if the father of the child is involved, who the woman lives with, and whether there are any safety issues related to where the woman lives. |
PTS: 1 CON: Pregnancy
Chapter number and title: 5: Antepartal Nursing Assessment
Chapter learning objective: Explain the purpose and procedure of the complete physical examination and pelvic examination.
Chapter page reference: 56-57
Heading: Physical Examination
Integrated processes: Teaching and Learning
Client need: Safe and Effective Care Environment
Cognitive level: Application [Applying]
Concept: Pregnancy
Difficulty: Moderate
| Feedback | |
| 1 | This explains the role of health in pregnancy and the need to examine the entire body without frightening the patient. |
| 2 | Telling the patient she may have health problems and may be in need of treatment may frighten her and implies there is a problem with the pregnancy. |
| 3 | Simply saying it is a requirement does not adequately explain the rationale for the procedure. |
| 4 | The doctor examines the woman, not the baby, so this statement is not accurate. |
PTS: 1 CON: Pregnancy
Chapter number and title: 5: Antepartal Nursing Assessment
Chapter learning objective: Explain the purpose and procedure of the complete physical examination and pelvic examination.
Chapter page reference: 56-57
Heading: Physical Examination
Integrated processes: Clinical Problem-Solving Process
Client need: Health Promotion and Maintenance
Cognitive level: Analysis [Analyzing]
Concept: Pregnancy
Difficulty: Difficult
| Feedback | |
| 1 | Because the ischial tuberosity measurement is an indication of the smallest diameter of the pelvis through which the head must pass, it gives no indication of whether the pregnancy will be preterm or term. |
| 2 | Because the ischial tuberosity measurement is an indication of the smallest diameter of the pelvis through which the head must pass, it gives no indication of blood supply to the fetus. |
| 3 | Because the ischial tuberosity measurement is an indication of the smallest diameter of the pelvis through which the head must pass, a measurement less than 10 cm indicates she may not have a large enough opening to deliver vaginally. |
| 4 | Because the ischial tuberosity measurement is an indication of the smallest diameter of the pelvis through which the head must pass, it gives no indication of the length of labor. |
PTS: 1 CON: Pregnancy
Chapter number and title: 5: Antepartal Nursing Assessment
Chapter learning objective: Define the common laboratory tests utilized during pregnancy.
Chapter page reference: 58
Heading: Laboratory Tests
Integrated processes: Clinical Problem-Solving Process
Client need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Pregnancy
Difficulty: Moderate
| Feedback | |
| 1 | A CBC is routinely drawn on all pregnant women to determine overall health and to screen for potential anemia. |
| 2 | All pregnant women should have their blood type and Rh status identified. |
| 3 | A PAP smear, or Papanicolaou screen, is routinely performed on pregnant women. |
| 4 | A serum calcium test is not routine. |
PTS: 1 CON: Pregnancy
Chapter number and title: 5: Antepartal Nursing Assessment
Chapter learning objective: Define the common laboratory tests utilized during pregnancy.
Chapter page reference: 58
Heading: Laboratory Tests
Integrated processes: Communication and Documentation
Client need: Health Promotion and Maintenance
Cognitive level: Application [Applying]
Concept: Pregnancy
Difficulty: Moderate
| Feedback | |
| 1 | This response damages the trust between the nurse and the patient because it is essentially saying the patient is not to be believed; thus, this is not the best answer. |
| 2 | This response explains why the titers are performed and is the best response. |
| 3 | This response is not accurate and puts the responsibility on the doctor instead of answering the patient’s question. |
| 4 | Although this answer is correct, it is not complete and does not explain why the patient needs to be tested. |
PTS: 1 CON: Pregnancy
Chapter number and title: 5: Antepartal Nursing Assessment
Chapter learning objective: Explain the commonly used screening tests for fetal abnormalities.
Chapter page reference: 59-60
Heading: Screening Tests for Fetal Health
Integrated processes: Clinical Problem-Solving Process
Client need: Reduction of Risk Potential
Cognitive level: Analysis [Analyzing]
Concept: Pregnancy
Difficulty: Easy
| Feedback | |
| 1 | An elevated alpha-fetoprotein level indicates a potential neural tube defect, not Down syndrome. |
| 2 | An elevated hCG level is an indication of potential Down syndrome. |
| 3 | A low unconjugated estriol level, not a high level, indicates a risk for Down syndrome. |
| 4 | An elevated level of inhibin A, not a low level, indicates a risk for Down syndrome. |
PTS: 1 CON: Pregnancy
Chapter number and title: 5: Antepartal Nursing Assessment
Chapter learning objective: Explain the commonly used screening tests for fetal abnormalities.
Chapter page reference: 59-60
Heading: Screening Tests for Fetal Health
Integrated processes: Clinical Problem-Solving Process
Client need: Reduction of Risk Potential
Cognitive level: Analysis [Analyzing]
Concept: Pregnancy
Difficulty: Easy
| Feedback | |
| 1 | Spontaneous abortion is a potential complication following amniocentesis. |
| 2 | Leaking of amniotic fluid is a potential complication following amniocentesis. |
| 3 | Infection is a potential complication following amniocentesis. |
| 4 | Maternal liver damage is highly unusual and is not normally associated with amniocentesis. |
PTS: 1 CON: Pregnancy
Chapter number and title: 5: Antepartal Nursing Assessment
Chapter learning objective: List the usual pattern of prenatal visits to the health-care provider.
Chapter page reference: 60-61
Heading: Subsequent Prenatal Visits
Integrated processes: Clinical Problem-Solving Process
Client need: Health Promotion and Maintenance
Cognitive level: Application [Applying]
Concept: Pregnancy
Difficulty: Easy
| Feedback | |
| 1 | At 22 weeks, the woman will be seen monthly unless problems occur. |
| 2 | At 28 weeks, the woman will begin appointments every 2 weeks. |
| 3 | At 36 weeks, the woman will begin weekly appointments. |
| 4 | At 38 weeks, the woman should have already started weekly appointments. |
PTS: 1 CON: Pregnancy
Chapter number and title: 5: Antepartal Nursing Assessment
Chapter learning objective: Discuss nursing care provided during subsequent visits to the health-care provider.
Chapter page reference: 60-61
Heading: Care During Subsequent Prenatal Visits
Integrated processes: Clinical Problem-Solving Process
Client need: Health Promotion and Maintenance
Cognitive level: Analysis [Analyzing]
Concept: Pregnancy
Difficulty: Moderate
| Feedback | |
| 1 | Although a bladder infection can increase risk for preterm labor, there is no indication of this problem at this time. |
| 2 | Abruptio placentae does not present with these symptoms. |
| 3 | Pre-eclampsia symptoms include protein in the urine, elevated blood pressure, and edema, so that is not a consideration with the presenting symptoms. |
| 4 | Arriving late for an appointment, urinary tract infection, and unexplained bruising will lead the nurse to suspect potential domestic abuse and to question the woman regarding her safety. |
PTS: 1 CON: Pregnancy
Chapter number and title: 5: Antepartal Nursing Assessment
Chapter learning objective: Discuss nursing care provided during subsequent visits to the health-care provider.
Chapter page reference: 60-61
Heading: Care During Subsequent Prenatal Visits
Integrated processes: Clinical Problem-Solving Process
Client need: Reduction of Risk Potential
Cognitive level: Analysis [Analyzing]
Concept: Pregnancy
Difficulty: Moderate
| Feedback | |
| 1 | Although an elevated urine protein level can indicate pre-eclampsia, elevated nitrate levels will cause the nurse to consider another problem as more likely. |
| 2 | With elevated protein and nitrate levels, the patient should be assessed for symptoms of a urinary tract infection, including dysuria, frequency, urgency, and/or incontinence. |
| 3 | Gestational diabetes is indicated by elevated glucose levels, not protein and nitrate levels, in the urine. |
| 4 | Inadequate nutrition is indicated by ketones in the urine. |
PTS: 1 CON: Pregnancy
Chapter number and title: 5: Antepartal Nursing Assessment
Chapter learning objective: Communicate effectively with the patient regarding domestic violence.
Chapter page reference: 61
Heading: Care During Subsequent Prenatal Visits
Integrated processes: Clinical Problem-Solving Process
Client need: Health Promotion and Maintenance
Cognitive level: Analysis [Analyzing]
Concept: Pregnancy
Difficulty: Moderate
| Feedback | |
| 1 | Reliable transportation is of no significance in this situation. |
| 2 | It is not the nurse’s place to suggest adoption unless the woman raises the option and says she is considering it. |
| 3 | Although abdominal bruising could induce preterm labor if severe, that is not the priority question to pursue. |
| 4 | The woman is demonstrating multiple warning signs of domestic abuse, so the nurse should question the woman regarding her safety. |
PTS: 1 CON: Pregnancy
Chapter number and title: 5: Antepartal Nursing Assessment
Chapter learning objective: Discuss the monitoring of fetal growth and development.
Chapter page reference: 55
Heading: Assessment of Fetal Development
Integrated processes: Clinical Problem-Solving Process
Client need: Health Promotion and Maintenance
Cognitive level: Analysis [Analyzing]
Concept: Pregnancy
Difficulty: Moderate
| Feedback | |
| 1 | When fetal heart tones are not heard, the mother is likely to become concerned; she needs to be reassured that it is not uncommon for heart tones to be inaudible until 12 weeks of pregnancy. |
| 2 | Fetal heart tones may not be heard until 12 weeks of pregnancy, so there is no need to notify the provider immediately; however, the finding should be documented. |
| 3 | Fetal heart tones may not be heard until 12 weeks of pregnancy, so there is no need for bedrest. |
| 4 | Fetal heart tones may not be heard until 12 weeks of pregnancy, so there is no need for an ultrasound at this time. |
PTS: 1 CON: Pregnancy
MULTIPLE RESPONSE
Chapter number and title: 5: Antepartal Nursing Assessment
Chapter learning objective: Explain the GTPAL system.
Chapter page reference: 55
Heading: Pregnancy Terminology
Integrated processes: Communication and Documentation
Client need: Health Promotion and Maintenance
Cognitive level: Analysis [Analyzing]
Concept: Pregnancy
Difficulty: Difficult
| Feedback | |
| 1. | G5 indicates the woman has been pregnant a total of five times, and that includes her current pregnancy. |
| 2. | From this information, there is no way of knowing whether the abortion was spontaneous or therapeutic. |
| 3. | Because she had two term children and five preterm children but has only five living children, it is correct to interpret this information as indicating two children died after being born alive. |
| 4. | Because four past pregnancies resulted in seven children, it is apparent that at least one pregnancy resulted in a multiple birth; however, there is no way of knowing if one pregnancy was a multiple birth or if there were several multiple births, so the nurse cannot draw the conclusion that she had quintuplets. |
| 5. | Adopted children are not included in the GTPAL. |
PTS: 1 CON: Pregnancy
Chapter number and title: 5: Antepartal Nursing Assessment
Chapter learning objective: Discuss the monitoring of fetal growth and development.
Chapter page reference: 62
Heading: Assessment of Fetal Development
Integrated processes: Clinical Problem-Solving Process
Client need: Health Promotion and Maintenance
Cognitive level: Application [Applying]
Concept: Pregnancy
Difficulty: Difficult
| Feedback | |
| 1. | At 20 weeks, the fundal height should be 20 cm, so this is an expected finding. |
| 2. | Fetal heart rate between 110 and 160 bpm is an expected finding. |
| 3. | Quickening, or fetal movement, should be felt between 16 and 22 weeks, so this is an expected finding. |
| 4. | Glucose in the urine is never an expected finding and could indicate gestational diabetes. |
| 5. | By 20 weeks’ gestation, the woman should be steadily gaining weight, so weight loss is not an anticipated finding. |
PTS: 1 CON: Pregnancy
COMPLETION
G6, T1, P3, A3, L3
6, 1, 3, 3, 3
61333
Chapter number and title: 5: Antepartal Nursing Assessment
Chapter learning objective: Explain the GTPAL system.
Chapter page reference: 55
Heading: Pregnancy Terminology
Integrated processes: Communication and Documentation
Client need: Health Promotion and Maintenance
Cognitive level: Analysis [Analyzing]
Concept: Pregnancy
Difficulty: Difficult
| Feedback |
| The woman has been pregnant 6 times (1 term, 1 triplet, current pregnancy, and 2 spontaneous and 1 voluntary abortions = 6), so her gravida is 6. One child was born at term (T = 1), and 3 infants (triplets) were born between 20 and 37 weeks (P = 3), she has had 2 spontaneous abortions and 1 therapeutic abortion (A = 3), and she has 3 living children (1 term + 3 from triplet birth – 1 child who died = 3 children, so L = 3). |
PTS: 1 CON: Pregnancy
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