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OB Pregn Chp 7 Exam Questions And Answers
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OB Pregn Chp 7 Exam Questions And AnswersWhat is the term for a woman who has completed one pregnancy with a fetus or fetuses
reaching the state of fetal viability?
1
Primipara
2
Primigravida
3
Multipara
4
Nulligravida
1
A primipara is a woman who has completed one pregnancy with a viable fetus. Gravida
is a pregnant woman; para comes from parity, meaning a viable fetus; primi means first;
multi means many; and null means none. A primigravida is a woman pregnant for the
first time. A multipara is a woman who has completed two or more pregnancies with a
viable fetus. A nulligravida is a woman who has never been pregnant.
A pregnant woman who is 10 weeks of gestation jogs three or four times per week. She
is concerned about the effect of exercise on the fetus. The nurse should tell her:
1
"You do not need to change your exercising at any time during your pregnancy."
2
"Cease exercising, because this will damage the fetus."
3
,"You might feel that by approximately the seventh month of your pregnancy you will
have to adjust your exercise to walking."
4
"It is too much stress on your joints jogging; take up walking now."
3
Ordinarily, running should be replaced by walking around the seventh month of
pregnancy. The nurse can remind the woman that it may be necessary to gradually
decrease the level of exercise as pregnancy advances. Exercise generally makes
pregnant women feel well. It enhances circulation, relaxes, aids in rest, and counters
boredom. Simple precautions should be begun to prevent injury, such as warm-up and
stretching exercises to prepare the joints for more strenuous exercise.
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The nurse reviews the obstetric history of a pregnant woman and determines the GTPAL
(gravidity, term, preterm, abortions, living children) for the woman is "1-0-1-0-1." From
this, what can be inferred by the nurse?
, 1
The woman had been pregnant twice, delivered at the 35th week, and the baby
survived.
2
The woman was pregnant once and delivered twins at the 36th week of pregnancy.
3
This woman was pregnant once, gave birth at the 35th week, and the baby survived.
4
The woman had two pregnancies, during the second pregnancy she miscarried at 10
weeks.
3
So, GTPAL would be "1-0-1-0-1," gravidity-1, term-0, preterm-1, abortion-0, living
children-1. If this woman was pregnant twice, delivered both times at 35 wks of
pregnancy, and both babies survived, then GTPAL would be "2-0-2-0-2." If this woman
was pregnant once, delivered twins at the 36th week, then GTPAL would be "1-0-2-0-2."
If this woman was pregnant twice, had one term pregnancy, but the second pregnancy
ended as a miscarriage at 10 wks, then GTPAL would be "2-1-0-1-1.".
A pregnant woman reports that she is still playing tennis at 32 weeks of gestation. The
nurse would be most concerned about which of the following this client consumes
during and after tennis matches? Which is the most important?
1
Several glasses of fluid
2
Additional sources of protein, such as peanut butter
3
Salty snacks to replace lost sodium
4
Light forms of carbohydrate that are easy to digest
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