A nurse is conducting a prenatal history with a patient who is ...

[Davideckstein7]

A nurse is conducting a prenatal history with a patient who is new to the clinic. The woman reports that she had one healthy baby at term, and a miscarriage at 8 weeks. What will the nurse document as the patient's GTPAL?
 
  a. 21011
  b. 20111
  c. 30111
  d. 31011

Question 2

Which of the client health behaviors in the first trimester would the nurse identify as a risk factor in pregnancy?
 
  a. Sexual intercourse two or three times weekly
  b. Moderate exercise for 30 minutes daily
  c. Working 40 hours a week as a secretary in a travel agency
  d. Relaxing in a hot tub for 30 minutes a day, several days a week

[tuwy]

Answer to Question 1

ANS: D
Because this is a prenatal history, the client is pregnant. Gravida is the number of times the uterus has been pregnant, which in this case is three. The patient reported one Term birth, no Preterm births, one Abortion or miscarriage, and presumably one Live child.

Answer to Question 2

ANS: D
Pregnant women should avoid activities that might cause hyperthermia. Maternal hyperthermia, particularly during the first trimester, may be associated with fetal anomalies. She should not be in a hot tub for more than 10 minutes at less than 100 F. Sexual intercourse is generally safe for the healthy pregnant woman; moderate exercise during pregnancy can strengthen muscles, reduce backache and stress, and provide a feeling of well-being; working during pregnancy is acceptable as long as the woman is not continually on her feet or exposed to environmental toxins and industrial hazards.