MATERNAL & CHILD HEALTH NURSING(GTPAL QUESTIONS AND CORRECT ANSWERS INCLUDED)

MATERNAL & CHILD HEALTH NURSING(GTPAL QUESTIONS AND CORRECT ANSWERS INCLUDED) PREGNANCY DURATION: • This refers to the age of the developing baby, counting from the estimated date of conception. The fetal age is usually 2 weeks less than the gestation age. - ANSWER 34 weeks fetal age • This is the number of completed weeks counting from the 1st day of the last normal menstrual cycle (LMP). - ANSWER 40 weeks gestation age TRIMESTERS:  Give the exact weeks for the first trimesters. - ANSWER 0-13 weeks  Give the exact weeks for the second trimester. - ANSWER 14-26 weeks  Give the exact weeks for the third trimester. - ANSWER 27-40 weeks PRENATAL TERMS:  A woman who is pregnant/ the number of pregnancies. - ANSWER Gravida/ Gravidity  A woman who is pregnant for the first time. - ANSWER Primigravida  A woman who is never been pregnant. - ANSWER Nulligravida  A woman who has had 2+ pregnancies. - ANSWER Multigravida  This is the number of pregnancies that have reached viability (20 weeks gestation) whether the fetus was born alive or not. - ANSWER Parity  zero pregnancies beyond viability (20 weeks). - ANSWER Nullipara  one pregnancy that has reached viability (20 weeks). - ANSWER Primipara  (2+) two or more pregnancies that have reached viability (20 weeks). - ANSWER Multipara  Pregnancies that have reached 20 weeks but ended before 37 weeks. - ANSWER Preterm  Pregnancies that have lasted between week 37 and week 42. - Early Term: 37-38 6/7 weeks - Full Term: 39-40 6/7 weeks - Late Term: 41-41 6/7 weeks - ANSWER Term  A pregnancy that goes beyond 42 weeks. - ANSWER Postdate/ Postterm GTPAL:  The number of pregnancies o Includes the present pregnancy o Includes miscarriages/ abortions o Twins/ triplets count as one - ANSWER (G) Gravidity  The number born at term o 37th weeks of gestation o Includes alive or stillborn o Twins/ triplets count as one - ANSWER (T) Term births  The number of pregnancies delivered beginning with the 20th-36 6/7th weeks of gestation. o Includes alive or stillborn o Twins/ Triplets count as one - ANSWER (P) Preterm births  The number of pregnancies delivered before 20 weeks gestation o Counts with gravidity o Twins/ triplets count as one - ANSWER (A) Abortions/ Miscarriages  The number of current living children o Twins/ triplets count individually - ANSWER (L) Living GTPAL PRACTICE QUESTION: (0) You are admitting a patient to the mother-baby unit. Two hours ago she delivered a boy on her due date. She gives her obstetric history as follows: she has a three-year-old daughter who was delivered a week past her due date and last year she had a miscarriage at 8 weeks gestation. How would you note this history using the GTPAL system? A. 2-2-1-0-2 B. 3-2-1-0-1 C. 3-2-1-0-2 D. 3-2-0-1-2 - ANSWER D. 3-2-0-1-2 (1) A prenatal client's obstetric history indicates that she has been pregnant 3 times previously and that all her children from previous pregnancies are living. One was born at 39 weeks gestation, twins were born at 34 weeks gestation, and another child was born at 38 weeks gestation. She is currently 38 weeks pregnant. What is her gravidity and parity using the GTPAL system? A. 4-1-3-0-4 B. 4-1-2-0-3 C. 4-2-1-0-4