Author Question: Determine the obstetric history of a client in her fifth pregnancy who had two spontaneous abortions ... (Read 36 times)

melly21297 · **on:** Jun 28, 2018

Determine the obstetric history of a client in her fifth pregnancy who had two spontaneous abortions in the first trimester, one infant at 32 weeks' gestation, and one infant at 38 weeks' gestation.

a. G5 T1 P2 A2 L 2
b. G5 T1 P1 A1 L2
c. G5 T0 P2 A2 L2
d. G5 T1 P1 A2 L2

Question 2

Which physiologic finding is consistent with normal pregnancy?

a. Systemic vascular resistance increases as blood pressure decreases.
b. Cardiac output increases during pregnancy.
c. Blood pressure remains consistent independent of position changes.
d. Maternal vasoconstriction occurs in response to increased metabolism.

lindahyatt42 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: D
This client is in her fifth pregnancy, which is G5, she had one viable term infant (between 38 and 42 weeks' gestation), which is T1, she had one viable preterm infant (between 20 and 37 weeks' gestation), which is P1, two spontaneous abortions (before 20 weeks' gestation), which is A2, and she has two living children, which is L2.

Answer to Question 2

ANS: B
Cardiac output increases during pregnancy as a result of increased stroke volume and heart rate. Systemic vascular resistance decreases while blood pressure remains the same. Maternal blood pressure changes in response to client positioning. In response to increased metabolism, maternal vasodilation is seen during pregnancy.