Page 671 - Saunders Comprehensive Review For NCLEX-RN

so read all options carefully, noting the dates and years in the options, before
selecting an answer.
Level of Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process—Assessment
Content Area: Maternity: Antepartum
Health Problem: N/A
Priority Concepts: Development; Reproduction
Reference: McKinney et al. (2018), p. 225.

203. Answer: 2

Rationale: Pregnancy outcomes can be described with the acronym GTPAL. G is
gravidity, the number of pregnancies; T is term births, the number born at term
(longer than 37 weeks); P is preterm births, the number born before 37 weeks of
gestation; A is abortions or miscarriages, the number of abortions or miscarriages
(included in gravida if before 20 weeks of gestation; included in parity [number of
births] if past 20 weeks of gestation); and L is the number of current living children.
A woman who is pregnant with twins and has a child has a gravida of 2. Because the
child was delivered at 38 weeks, the number of term births is 1, and the number of
preterm births is 0. The number of abortions is 0, and the number of living children
is 1.
Test-Taking Strategy: Focus on the subject of the question. Recalling the meaning
of the acronym GTPAL and focusing on the information in the question will direct
you to the correct option.
Level of Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process—Assessment
Content Area: Maternity: Antepartum
Health Problem: N/A
Priority Concepts: Clinical Judgment; Reproduction
Reference: McKinney et al. (2018), p. 225.

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