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A nurse is reviewing a client’s prenatal record while scheduling an induction of labor.The records indicate that the client is currently 37 weeks gestation.She has had a previous 39-week vaginal delivery of a male infant and a 35-week vaginal delivery of a male infant.What does the nurse document as the client’s GTPAL?

A.

G3-T1-P0-A1-L2.

B.

G3-T2-P0-A0-L2.

C.

G3-T1-P1-A0-L2.

D.

G2-T1-P1-A0-L2. .

Answer and Explanation

The Correct Answer is C

Choice A rationale

 

This choice indicates G3-T1-P0-A1-L2. Gravida (G) is the total number of pregnancies, which is correct as 3. Term (T) is the number of pregnancies carried to term (37 weeks or more), which is 1. Preterm (P) is the number of pregnancies delivered between 20 and 36 weeks, which is 0. Abortions (A) is the number of pregnancies lost before 20 weeks, which is 1. Living (L) is the number of living children, which is 2. However, this choice incorrectly counts the preterm delivery as an abortion.

 

Choice B rationale

 

This choice indicates G3-T2-P0-A0-L2. Gravida (G) is correct as 3. Term (T) is the number of pregnancies carried to term, which is 2. Preterm (P) is the number of pregnancies delivered between 20 and 36 weeks, which is 0. Abortions (A) is the number of pregnancies lost before 20 weeks, which is 0. Living (L) is the number of living children, which is 2. This choice incorrectly counts the preterm delivery as a term delivery.

 

Choice C rationale

 

This choice indicates G3-T1-P1-A0-L2. Gravida (G) is correct as 3. Term (T) is the number of pregnancies carried to term, which is 1. Preterm (P) is the number of pregnancies delivered between 20 and 36 weeks, which is 1. Abortions (A) is the number of pregnancies lost before 20 weeks, which is 0. Living (L) is the number of living children, which is 2. This choice correctly accounts for the term and preterm deliveries.

 

Choice D rationale

 

This choice indicates G2-T1-P1-A0-L2. Gravida (G) is incorrect as it should be 3. Term (T) is the number of pregnancies carried to term, which is 1. Preterm (P) is the number of pregnancies delivered between 20 and 36 weeks, which is 1. Abortions (A) is the number of pregnancies lost before 20 weeks, which is 0. Living (L) is the number of living children, which is 2. This choice incorrectly counts the total number of pregnancies.


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View Related questions

Correct Answer is D

Explanation

Choice A rationale

Having a child with blue eyes is not an indication for genetic testing. Eye color is a polygenic trait and does not typically warrant genetic testing.

Choice B rationale

Reactive airway disease in preterm children is not a direct indication for genetic testing. This condition is more related to the complications of prematurity rather than genetic factors.

Choice C rationale

Neonatal jaundice is common and usually resolves without long-term issues. It is not typically an indication for genetic testing unless there is a suspicion of an underlying genetic disorder.

Choice D rationale

Tay-Sachs Disease is a genetic disorder, and having a child with this condition is a strong indication for genetic testing. This would help determine the risk of recurrence in future pregnancies and provide valuable information for family planning. .

Correct Answer is C

Explanation

Choice A rationale

The placenta does not cushion the fetus from maternal movement. Instead, the amniotic fluid within the amniotic sac provides cushioning and protection to the fetus from external forces and maternal movements.

Choice B rationale

The placenta does not provide thermoregulation. Thermoregulation is primarily managed by the mother’s body. The placenta’s main functions are related to nutrient and gas exchange, hormone production, and waste removal.

Choice C rationale

The placenta is responsible for metabolic and gas exchange. It provides oxygen and nutrients to the fetus while removing waste products from the fetal blood. This exchange occurs through the placental barrier, which separates maternal and fetal blood.

Choice D rationale

The placenta does not provide a sterile environment. The amniotic sac and its fluid help maintain a sterile environment for the fetus. The placenta’s role is more focused on nutrient and gas exchange, hormone production, and waste removal.

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