Nokea
How would the nurse document the patient's obstetric history using the TPALM system?
- A. Gravida 2, para 20120
- B. Gravida 3, para 10011
- C. Gravida 3, para 10110
- D. Gravida 2, para 11110
Correct Answer: C
Rationale: The TPALM system records gravida (total pregnancies) and para (outcomes). The patient has 3 pregnancies (current, one son, one abortion), with 1 term birth, 0 preterm, 1 abortion, 1 living child, 0 multiple births.
You may also like to solve these questions
A woman who is 36 weeks pregnant tells the nurse she plans to take a 12-hour flight to Hawaii.What would the nurse recommend that the patient do during the flight?
- A. Wear tight-fitting clothing to promote venous return.
- B. Eat a large meal before boarding the flight.
- C. Request a seat with greater leg room.
- D. Drink at least 4 ounces of water every hour.
- E. Get up and walk around the plane frequently.
Correct Answer: C,D,E
Rationale: Adequate hydration, frequent position changes, and movement reduce the risk of thromboembolism.
What food can the nurse recommend?
- A. Fried fish
- B. Olive oil
- C. Red meat
- D. Leafy green vegetables
Correct Answer: C
Rationale: Red meat is rich in DHA, which is thought to enhance fetal brain development.
What is the nurse's best response?
- A. You may notice the baby moving around the 4th or 5th month.'
- B. Quickening varies with every woman.'
- C. You'll feel something by the end of the first trimester.'
- D. The baby will be big enough for you to feel in your 8th month.'
Correct Answer: A
Rationale: Quickening, fetal movement felt by the mother, is first perceived at 16 to 20 weeks of gestation.
The nurse reminds the prenatal patient that she should add kcal to her daily intake to nourish the fetus.
Correct Answer: 300
Rationale: The recommended dietary intake increase is 300 kcal a day.
What lab test can the nurse anticipate the physician will order?
- A. Endovaginal ultrasound
- B. Pap test
- C. Complete blood count
- D. Hemoglobin electrophoresis
Correct Answer: D
Rationale: Hemoglobin electrophoresis identifies sickle cell trait or disease, indicated by a family history.