Author Question: How should the nurse document a pregnant patient's gestational status using the GTPAL system after ... (Read 50 times)

nenivikky · **on:** Jun 27, 2018

How should the nurse document a pregnant patient's gestational status using the GTPAL system after collecting the following data? Currently 18 weeks pregnant Patient's fourth pregnancy Delivered one nonviable fetus at 26 weeks Experienced one

miscarriage Delivered one viable fetus at 38 weeks' gestation A) 3, 2, 1, 2, 1
B) 4, 2, 2, 1, 1
C) 3, 2, 1, 1, 1
D) 4, 1, 1, 1, 1

Question 2

A patient having an examination to check the placement of an intrauterine device (IUD) is diagnosed as being pregnant. For which action should the nurse prepare the patient at this time?

A) Removal of the IUD
B) Surgery to abort the fetus
C) Potential for a spontaneous abortion
D) Nothing since the IUD can remain in place

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

Answer to Question 1

D
Feedback:
GTPAL is a more comprehensive system for classifying pregnancy status. By this system, the gravida classification remains the same, but para is broken down into T: the number of full-term infants born (infants born at 37 weeks or after), P: the number of preterm infants born (infants born before 37 weeks), A: the number of spontaneous miscarriages or therapeutic abortions, and L: the number of living children. The patient has been pregnant four times. The patient delivered one viable infant at 38 weeks. The patient delivered one nonviable fetus at 26 weeks. The patient had one miscarriage. The patient has one living child.

Answer to Question 2

A
Feedback:
A patient may become pregnant with an intrauterine device (IUD) in place. If this occurs, it needs to be removed to prevent infection during pregnancy. The fetus does not need to be aborted, and the patient will not spontaneously abort because the IUD is in place. The IUD cannot remain in place because of the risk for infection.