Author Question: A woman's obstetric history indicates that she is pregnant for the fourth time and all her children ... (Read 23 times)

swpotter12 · **on:** Jun 27, 2018

A woman's obstetric history indicates that she is pregnant for the fourth time and all her children from prior pregnancies are living. One was born at 39 weeks of gestation, twins at 34 weeks of gestation, and another at 35 weeks of gestation.

What is her gravidity and parity using the GTPAL system? 1. 3-1-1-1-3
2. 4-1-2-0-4
3. 3-0-3-0-3
4. 4-2-1-0-3

Question 2

In providing nutritional counseling for a pregnant woman experiencing cholecystitis, the nurse would:

1. assess the woman's dietary history for adequate calories and proteins.
2. instruct the woman that the bulk of calories should come from proteins.
3. instruct the woman to eat a low-fat diet and avoid fried foods.
4. instruct the woman to eat a low-cholesterol, low-salt diet.

duke02 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

2
1, 3, 4. Incorrect. The numbers reflect the woman's gravidity and parity information. Using the GTPAL system, her information is calculated as:
Gthis reflects the total number of times the woman has been pregnant; she is pregnant for the fourth time
Tthis number indicates the number of pregnancies carried to term, not the number of delive-ries at term; she has had only one pregnancy result in a fetus at term
Pthis is the number of pregnancies that resulted in a preterm birth; she has had two pregnan-cies in which she delivered preterm
Athis letter signifies if the woman has had any abortions or miscarriages prior to the period of viability; she did not
Lthis signifies the number of children born that are currently living; she has four children
2. Correct. This is the correct calculation of this woman's gravidity and parity.

Answer to Question 2

3
1. Incorrect. Caloric and protein intake does not predispose a woman to develop cholecysti-tis.
2. Incorrect. The woman should be instructed to limit protein intake and choose foods that are high in carbohydrates.
3. Correct. This would be appropriate nutritional counseling for this patient.
4. Incorrect. A low-cholesterol diet may result from limiting fats. However, a low-salt diet is not indicated.