OB_gestationdiabetes

OB_gestationdiabetes - PointsAwarded PointsMissed...

Info iconThis preview shows pages 1–4. Sign up to view the full content.

View Full Document Right Arrow Icon
Points Awarded 23.00 Points Missed 0.00 Percentage 100% Obstetrical History The clinic RN reviews Amanda's prenatal record prior to performing a nursing as- sessment. Amanda has given birth twice, once at 35-weeks (twins) and once at  39-weeks (singleton). All of these children are alive and well. She has had one  spontaneous abortion at 9-weeks gestation. 1. How should the nurse record Amanda's obstetrical history using the G-T-P-A-L  designation? A) 3-2-0-1-3. INCORRECT This does not reflect the client's obstetrical history. B) 3-1-1-1-2. INCORRECT This does not reflect the client's obstetrical history. C) 4-1-1-1-3. CORRECT Gravidity [G] is defined as the number of times pregnant, including the current  pregnancy. Term [T] is defined as any birth after the end of the 37th week, and  preterm [P] refers to any births between 20- and 37- weeks. Both term and pre- term describe liveborn and stillborn infants. Abortion [A] is any fetal loss, whether  spontaneous or elective, up to 20-weeks gestation. Living [L] refers to all children 
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
who are living at the time of the interview. Multiple fetuses such as twins, triplets,  and beyond are treated as one pregnancy and one birth when recording the GT- PAL. Amanda's GTPAL is 4 (pregnancies counting current one) - 1 (infant born at  39-weeks) - 1 (twins born at 35-weeks) - 1 (spontaneous abortion at 9-weeks) - 3  (each twin and the singleton, all living).   D) 4-2-1-0-2. INCORRECT This does not reflect the client's obstetrical history. The nurse notes that Amanda's fasting 1 hour glucose screening level, which was  done two days previously, is 158 mg/dl. 2. The nurse recognizes that what information in the client's history supports a dia- gnosis of gestational diabetes? A) Maternal great-aunt has insulin dependent (Type 1) diabetes. INCORRECT Family history of diabetes is not considered a risk factor unless it is a first degree  relative. B) Youngest child weighed 4300 grams at 39-weeks gestation. CORRECT Birth of an infant over 9 pounds (~ 4.1 kg or 4100 grams) is a risk factor for gesta- tional diabetes. Other risk factors include maternal age older than 25, obesity, 
Background image of page 2
history of unexplained stillborn, family history of Type 1 diabetes in a first-degree  relative, strong family history of Type 2 diabetes, and history of gestational dia- betes in a previous pregnancy. Ethnic groups at increased risk include Hispanic,  Native-American, Asian, and African-American.  C) Trace of protein noted in urine specimen at last prenatal visit. INCORRECT
Background image of page 3

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Image of page 4
This is the end of the preview. Sign up to access the rest of the document.

This note was uploaded on 11/08/2010 for the course NUR 2000 taught by Professor Rn during the Spring '10 term at Florida State College.

Page1 / 30

OB_gestationdiabetes - PointsAwarded PointsMissed...

This preview shows document pages 1 - 4. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online