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?
G3-T1-P0-A1-L2.
G3-T2-P0-A0-L2.
G3-T1-P1-A0-L2.
G2-T1-P1-A0-L2. .
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 A
Explanation
Choice A rationale
The ductus venosus, foramen ovale, and ductus arteriosus are shunts in fetal circulation that bypass the lungs and liver, directing oxygenated blood to the brain and body. The foramen ovale allows blood to flow from the right atrium to the left atrium, bypassing the lungs. The ductus arteriosus connects the pulmonary artery to the aorta, allowing blood to bypass the lungs. The ductus venosus shunts blood from the umbilical vein to the inferior vena cava, bypassing the liver.
Choice B rationale
This choice is incorrect because the primary purpose of these shunts is not to ensure proper development of the fetal heart. While they do play a role in directing blood flow, their main function is to bypass the non-functional fetal lungs and liver.
Choice C rationale
This choice is incorrect because the shunts are not primarily involved in regulating blood pressure in the fetus. Their main function is to direct oxygenated blood to vital organs like the brain and heart.
Choice D rationale
This choice is incorrect because the shunts bypass the lungs, which are not yet functional in the fetus. Gas exchange occurs in the placenta, not the fetal lungs.
Correct Answer is B
Explanation
Choice A rationale
Fetal movements, known as quickening, are typically felt by the mother between 16 and 25 weeks of pregnancy, not specifically at week 245.
Choice B rationale
The baby’s heartbeat can be detected by 10-12 weeks of pregnancy using a Doppler ultrasound device. This is an important milestone in fetal development and prenatal care
.
Choice C rationale
Lanugo, the fine hair covering the fetus, usually appears around 20 weeks of pregnancy and starts to disappear closer to the end of the third trimester, not specifically by week 355.
Choice D rationale
The sex of the baby is determined at conception, but it can be detected via ultrasound around 18-20 weeks of pregnancy, not by week 85.