Questions and Answers
How would you classify a woman who is currently 18 weeks pregnant, in her 4th pregnancy, who gave birth to one baby vaginally at 26 weeks who died, experienced a miscarriage, and has one living child who was delivered at 38 weeks gestation using the GTPAL system?
4, 1, 1, 1, 1
Using the GTPAL method, how would a 4-month pregnant woman with 7-year-old twins, a 2-year-old son, and a spontaneous abortion 1 year ago document her obstetric history?
4 1 1 1 3
Which of the following statements should a nurse mention to a woman concerned about the safety of sex during pregnancy? (Select all that apply)
What is the estimated delivery date for a woman whose last menstrual period (LMP) was February 1, 2017, using the Naegele rule?
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What would be the estimated due date of a client whose last menstrual period (LMP) was November 16?
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What is the most accurate method for determining a pregnant client's estimated date of delivery/birth?
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Based on a July 20 last menstrual period, when is the expected delivery date?
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How would you document the obstetric history of a client who is pregnant with twins, has a 4-year-old delivered at 38 weeks, and had a miscarriage?
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What is the most important information needed to calculate the due date using Naegele's rule?
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Why was a sonogram ordered for a client with irregular periods to determine her due date?
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What should a nurse emphasize to reduce the risk of complications if a client plans to work until her due date?
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How should a nurse document the obstetrical history of a newly pregnant client with 3 children, including 2 full-term and one at 34 weeks, ending in a miscarriage?
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Using Naegele rule, what is the due date for a woman whose LMP was January 10, 2017?
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How would a nurse document a woman's obstetric history who has given birth to two infants at term and had one abortion at 12 weeks?
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How would the nurse document the GTPAL for a client with 4 children living at home, including one child at 34 weeks gestation, one at 37 weeks, one at 38 weeks, one at 39 weeks? She has had one abortion.
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Which client should a nurse prepare for a routine fetal ultrasound?
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What factors should be considered regarding a woman who previously had a cesarean birth and is questioning if she will need one again? (Select all that apply)
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Study Notes
GTPAL System Overview
- GTPAL is an acronym for Gravida (total pregnancies), Term (term deliveries), Preterm (preterm deliveries), Abortions (including miscarriages), and Living (number of living children).
- Used to classify pregnancy history and obstetric outcomes.
Card One Summary
- A woman at 18 weeks pregnant with a history of 4 pregnancies: 1 vaginal delivery (26 weeks, infant died), 1 miscarriage, and 1 child at 38 weeks.
- GTPAL calculation: G=4, T=1, P=1, A=1, L=1.
Card Two Summary
- Client at 4 months pregnant with twins (born at 34 weeks), a son (born at 39 weeks), and a miscarriage at 6 weeks.
- GTPAL documentation: G=4 (4th pregnancy), T=1, P=1, A=1, L=3.
Card Three Summary
- Sexual activity during pregnancy: Generally safe but should be avoided if membranes have ruptured or in case of vaginal spotting.
- Oral-female contact could pose risks; nonmonogamous partners should use condoms to prevent STIs.
- Reassurance that sex usually does not harm the fetus.
Card Four Summary
- Last menstrual period (LMP) on February 1, 2017, results in an estimated delivery date (EDD) of November 8, 2017, using Naegele's rule.
Card Five Summary
- Client's LMP was November 16; EDD calculated as August 23 of the following year using Naegele's rule.
Card Six Summary
- Ultrasound is the most accurate method for determining estimated delivery dates.
Card Seven Summary
- For a client with a July 20 LMP, the estimated delivery date is April 27.
Card Eight Summary
- Client pregnant with twins has a child born at term and reported one miscarriage.
- GTPAL history: G=3, T=1, P=0, A=1, L=1.
Card Nine Summary
- The first day of the last menstrual period is crucial for calculating the due date via Naegele's rule.
Card Ten Summary
- Sonogram ordered for clients with irregular periods due to difficulty in using Naegele's rule.
Card Eleven Summary
- Emphasizes the importance of frequent rest periods for clients who work up to their due date.
Card Twelve Summary
- Client with previous pregnancies (2 term, 1 preterm, and 1 miscarriage) documented as G5, T2, P1, A1, L3 under GTPAL.
Card Thirteen Summary
- Client with an LMP of January 10, 2017, has a due date of October 17, 2017, using Naegele's rule.
Card Fourteen Summary
- A client with two term deliveries and one abortion documented using the GTPAL system as Gravida 4, Para 2.
Card Fifteen Summary
- Non-pregnant client with 4 children, 1 abortion, and varied gestation periods documented as G5, T2, P2, A1, L4 using GTPAL.
Card Sixteen Summary
- Routine ultrasounds are typically performed at 16 to 20 weeks gestation to assess fetal health.
Card Seventeen Summary
- Many factors influence the decision for a vaginal birth after cesarean, including the reason for the previous cesarean and the type of uterine incision.
Card Eighteen Summary
- For a woman with five pregnancies, the GTPAL documentation reflects G5, P3114 (3 full-term, 1 preterm, 1 abortion, 4 living).
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Description
Test your understanding of the GTPAL system used in obstetrics with these practice questions. This quiz provides various scenarios to help you classify pregnancy statuses accurately. Perfect for exam preparation or quick review.
