A pregnant woman is the mother of two children. Her first ...

[Mr.Thesaxman]

A pregnant woman is the mother of two children. Her first pregnancy ended in a stillbirth at 32 weeks of gestation, her second pregnancy with the birth of her daughter at 36 weeks, and her third pregnancy with the birth of her son at 41 weeks.
 
  Using the five-digit system to describe this woman's current obstetric history, what should the nurse record?
 
  a. 4-1-2-0-2
  b. 3-1-2-0-2
  c. 4-2-1-0-1
  d. 3-1-1-1-3

Question 2

A gravida client at 32 weeks of gestation reports that she has severe lower back pain. What should the nurse's assessment include?
 
  a. Palpation of the lumbar spine
  b. Exercise pattern and duration
  c. Observation of posture and body mechanics
  d. Ability to sleep for at least 6 hours uninterrupted

[tandmlomax84]

Answer to Question 1

ANS: A
Gravida (the first number) is 4 because this woman is now pregnant and was pregnant three times before. Para (the next four numbers) represents the outcomes of the pregnancies and would be described as follows:
 T: 1 = term birth at 41 weeks of gestation (son)
 P: 2 = preterm birth at 32 weeks of gestation (stillbirth) and 36 weeks of gestation (daughter)
 A: 0 = abortion; none
 L: 2 = living children, her son and her daughter
She is currently pregnant so she is a gravida 4. She had one term infant, two preterm infants, no abortion, and three living children.

Answer to Question 2

ANS: C
Correct posture and body mechanics can reduce lower back pain caused by increasing lordosis. Pregnancy should not cause alterations in the spine. Any assessment for malformation should be done early in pregnancy. Certain exercises can help relieve back pain. Rest is important for well-being, but the main concern with back pain is to assess posture and body mechanics.

[Mr.Thesaxman]

Thank you

[tandmlomax84]

Happy to help you