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Exam NCLEX-RN topic 2 question 33 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 33
Topic #: 2
[All NCLEX-RN Questions]

A pregnant client comes to the office for her first prenatal examination at 10 weeks. She has been pregnant twice before; the first delivery produced a viable baby girl at 39 weeks 3 years ago; the second pregnancy produced a viable baby boy at 36 weeks 2 years ago. Both children are living and well. Using the gravida and para system to record the clients obstetrical history, the nurse should record:

  • A. Gravida 3 para 1
  • B. Gravida 3 para 2
  • C. Gravida 2 para 1
  • D. Gravida 2 para 2
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Suggested Answer: B 🗳️
(A) This answer is an incorrect application of gravida and para. The client has had two prior deliveries of more than 20 weeks gestation; therefore, para equals 2, not 1. (B) This answer is the correct application of gravida and para. The client is currently pregnant for the third time (G = 3), regardless of the length of the pregnancy, and has had two prior pregnancies with birth after the 20th week (P = 2), whether infant was alive or dead. (C) This answer is an incorrect application of gravida and para. The client is currently pregnant for the third time (G = 3, not 2); prior pregnancies lasted longer than 20 weeks (therefore, P = 2, not 1). (D)
This is an incorrect application of gravida and para. Client is currently pregnant for third time (G = 3, not 2).

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