Author Question: A woman is 6 weeks pregnant. She has had a previous spontaneous abortion at 14 weeks of gestation ... (Read 161 times)

joesmith1212 · **on:** Jun 27, 2018

A woman is 6 weeks pregnant. She has had a previous spontaneous abortion at 14 weeks of gestation and a pregnancy that ended at 38 weeks with the birth of a stillborn girl. What is her gravidity and parity using the GTPAL system?

1. 2-0-0-1-1
2. 2-1-0-1-0
3. 3-1-0-1-0
4. 3-0-1-1-0

Question 2

In caring for a pregnant woman with sickle cell anemia with increased blood viscosity, the nurse is concerned about the development of a thromboembolism. The nursing care would include:

1. monitoring the patient for a negative Homans sign.
2. massaging calves when the woman complains of pain.
3. applying antiembolic stockings.
4. maintaining a restriction on fluid intake.

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

Answer to Question 1

3
1, 2, 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 third time
Tthis number indicates the number of pregnancies carried to term; she has had only one pregnancy resulting in a fetus at term
Pthis is the number of pregnancies that resulted in a preterm birth
Athis letter signifies if the woman has had any abortions or miscarriages prior to the period of viability; she had one
Lthis signifies the number of children born that are currently living; she has no living children
3. Correct. This is the correct calculation of this woman's gravidity and parity.

Answer to Question 2

3
1. Incorrect. The nurse would monitor the patient for a Homans sign.
2. Incorrect. Massaging the calves is not appropriate because this may dislodge a throm-boembolism into the bloodstream (if one were present).
3. Correct. Applying antiembolic stockings is an appropriate nursing action.
4. Incorrect. Appropriate nursing care includes maintaining adequate hydration, not re-stricting fluid intake.