Nokea
A pregnant woman comes to the prenatal clinic for an initial visit. In reviewing her childbearing history, the client indicated that she has delivered premature twins, one full-term baby, and has had no abortions. Which GTPAL should the nurse document in this client's record?
- A. 3-1-2-0-3
- B. 4-1-2-0-3
- C. 2-1-2-1-2
- D. 3-1-1-0-3
Correct Answer: D
Rationale: (D) describes the correct GTPAL. The client has been pregnant 3 times including the current pregnancy (G-3). She had one full-term infant (T-1). She also had a preterm (P-1) twin pregnancy (a multifetal gestation is considered one birth when calculating parity). There were no abortions (A-0), so this client has a total of 3 living children.
You may also like to solve these questions
When explaining the recommended weight gain to your patient, the nurse's teaching should include which statement?
- A. All pregnant women need to gain a minimum of 25 to 35 lb.'
- B. The fetus, amniotic fluid, and placenta require 15 lb of weight gain.'
- C. Weight gain in pregnancy is based on the patient's prepregnant body mass index.'
- D. More weight should be gained in the first and second trimesters and less in the third.'
Correct Answer: C
Rationale: The correct answer is C because weight gain in pregnancy should be individualized based on the patient's prepregnant body mass index (BMI). This is important as it takes into consideration the patient's starting weight and helps to determine a healthy range of weight gain to support both maternal and fetal health. This approach is evidence-based and helps to prevent complications such as gestational diabetes and preeclampsia.
Explanation for why the other choices are incorrect:
A: This statement is incorrect because not all pregnant women need to gain the same amount of weight. Weight gain recommendations vary based on the patient's BMI.
B: This statement is incorrect as it provides a specific number for weight gain, which may not be accurate for all pregnant women. Weight gain should be individualized based on BMI.
D: This statement is incorrect because weight gain recommendations are distributed evenly across the trimesters, not necessarily more in the first and second trimesters and less in the third.
In teaching a pregnant adolescent about nutrition, what should the nurse include in the care plan?
- A. Determine the weight gain needed to meet adolescent growth and add 35 lb.
- B. Suggest that she does not eat at fast food restaurants to avoid foods of poor nutritional value.
- C. Realize that most adolescents are unwilling to make dietary changes during pregnancy.
- D. Emphasize the need to eliminate common teen snack foods because they are too high in fat and sodium.
Correct Answer: A
Rationale: Rationale for Correct Answer A: The correct answer is A because it addresses the specific nutritional needs of a pregnant adolescent by considering her growth and weight gain requirements. It is essential to determine the appropriate weight gain based on the adolescent's pre-pregnancy weight and BMI to ensure a healthy pregnancy. Adding a standard amount (usually around 35 lb) on top of the recommended weight gain for adolescents accounts for the additional needs of the growing fetus.
Summary of Incorrect Choices:
B: This choice focuses on avoiding fast food restaurants but does not address the specific nutritional needs of a pregnant adolescent.
C: Assuming that most adolescents are unwilling to make dietary changes is a generalization and does not provide tailored guidance for the individual's needs.
D: While emphasizing the need to eliminate unhealthy snacks is important, it does not address the overall nutritional requirements and weight gain needed for a pregnant adolescent.
A pregnant woman of normal weight enters her 13th week of pregnancy. If the patient eats and exercises as directed, what will the nurse anticipate as the ongoing weight gain for the remaining trimesters?
- A. 0.3 lb every week
- B. 1 lb every week
- C. 1.8 lb every week
- D. 2 lb every week
Correct Answer: B
Rationale: The correct answer is B: 1 lb every week. During the second and third trimesters, a pregnant woman is expected to gain about 1 lb per week on average. This weight gain is important for the healthy development of the baby and to support the mother's changing body. Gaining weight too slowly can lead to complications, while gaining too quickly can also have negative effects. Choices A, C, and D are incorrect because they suggest weight gain rates that are either too low or too high for a healthy pregnancy. It is crucial for the nurse to educate the patient on the importance of appropriate weight gain throughout the remaining trimesters to ensure the well-being of both the mother and the baby.
Which is the most important reason for evaluating the pattern of weight gain in pregnancy?
- A. Prevents excessive adipose tissue deposits
- B. Determines cultural influences on the woman's diet
- C. Assesses the need to limit caloric intake in obese women
- D. Identifies potential nutritional problems or complications of pregnancy
Correct Answer: D
Rationale: The correct answer is D because evaluating the pattern of weight gain in pregnancy helps identify potential nutritional problems or complications. Monitoring weight gain can indicate if the woman is receiving adequate nutrition for fetal development, detect issues like gestational diabetes or pre-eclampsia, and ensure overall maternal and fetal health.
Incorrect choice analysis:
A: Preventing excessive adipose tissue deposits is important, but the primary reason for evaluating weight gain in pregnancy is to identify nutritional problems and complications.
B: Cultural influences on diet are relevant but not the most important reason for evaluating weight gain.
C: Limiting caloric intake in obese women is important, but evaluating weight gain is more about ensuring proper nutrition and detecting complications rather than focusing solely on caloric restriction.
A client at 39-weeks gestation is admitted to the labor and delivery unit in active labor. The client's cervix is dilated 7 cm, 100% effaced, and the fetus is at +1 station. The client begins to push forcefully with contractions. What action should the nurse take?
- A. Encourage the client to pant-blow during contractions.
- B. Assist the client to push with contractions.
- C. Prepare for an immediate delivery.
- D. Notify the healthcare provider.
Correct Answer: A
Rationale: Pant-blow breathing helps prevent premature pushing before full dilation, reducing the risk of cervical edema.