HESI Case Studies - Gestational Diabetes
(Danielle Greene) 100% Correct and
Expert Verified
The clinic nurse reviews Danielle's prenatal record
prior to performing a nursing assessment. Danielle
has given birth three times; once at 35 weeks
(twins), once at 38 weeks (singleton) and once at 41
weeks (singleton). All of these children are alive and
well. She had one spontaneous abortion at 10 weeks'
gestation.
How should the nurse record Danielle's obstetrical
history using the G-T-P-A-L designation? -
CORRECT ANSWER>>5-2-1-1-4
Gravida (no. pregnancies, including current)
Term (after wk 37) {live and stillborn}
1
, Preterm (between 20-37 wk) {live and stillborn}
Abortion (fetal loss, up to 20 weeks)
Living (all alive at time of interview)
Which information does the nurse recognize in the
client's history to support a diagnosis of gestational
diabetes? - CORRECT ANSWER>>Child weighed
9 lbs (4.08 kg) at 41 weeks' gestation
Risk Factors:
- previous birth over 9 lbs
- maternal age > 25
- obesity
- hx. of unexplained stillborn
- fam hx of Type 1 diabetes in a first-degree relative
- strong fam hx of type 2 DM
- hx of gest diabetes.
2
(Danielle Greene) 100% Correct and
Expert Verified
The clinic nurse reviews Danielle's prenatal record
prior to performing a nursing assessment. Danielle
has given birth three times; once at 35 weeks
(twins), once at 38 weeks (singleton) and once at 41
weeks (singleton). All of these children are alive and
well. She had one spontaneous abortion at 10 weeks'
gestation.
How should the nurse record Danielle's obstetrical
history using the G-T-P-A-L designation? -
CORRECT ANSWER>>5-2-1-1-4
Gravida (no. pregnancies, including current)
Term (after wk 37) {live and stillborn}
1
, Preterm (between 20-37 wk) {live and stillborn}
Abortion (fetal loss, up to 20 weeks)
Living (all alive at time of interview)
Which information does the nurse recognize in the
client's history to support a diagnosis of gestational
diabetes? - CORRECT ANSWER>>Child weighed
9 lbs (4.08 kg) at 41 weeks' gestation
Risk Factors:
- previous birth over 9 lbs
- maternal age > 25
- obesity
- hx. of unexplained stillborn
- fam hx of Type 1 diabetes in a first-degree relative
- strong fam hx of type 2 DM
- hx of gest diabetes.
2
