Question

Please match each patient to the GTPAL status that is correct:

Anna has one child living at 37 1/7 weeks and is pregnant but has a miscarriage at 12weeks

G_T_P_A_L_

Anna became pregnant again and delivered at 33 weeks

G_T_P_A_L_

Brooke is currently pregnant with twins, gave birth at 41 weeks to a baby girl who is now two and had one miscarriage

G_T_P_A_L_

Alyssa has 3 living children, born at 39 1/7 weeks; 40 2/7 and 37 weeks. no miscarriages or abortions.

G_T_P_A_L_

Which findings of the most concern, and should be reported to the health care provider?

Weigh: 68kg

Height: 5'7

BP 108/72

R 18

FHR 168

Fundal height 19cm

Malia 37 years old is a multigravida. She has been taking yaz for 3 years and has scheduled withdrawal bleeds every 28days. The first day of her last withdrawal bleed was June 22. When is her EBD?

March 29

March 15

March 22

Unable to determine

A woman who is 32 weeks gestation with obstetrical history of G3P2P0 A0L2 had a C-section for both of her previous pregnancies. The woman experiences a sudden onset of intense localized abdominal pain with no vaginal bleeding. On her arrival at the hospital, what condition should be assumed unless ruled out?

Miscarriage

Preeclampsia

Placenta previa

Placental abruption

Recommendations to the pregnant woman vomiting associated with pregnancy could include the following? Select all that apply

Avoid protein rich foods

Try not ti mix food and drinks

Snack frequently abd avoid an empty stomach

Brush teeth immediately after eating to get rid of any offensive tastes or doors

Eat cold foods rather than hot food

Avoid salty food

Answer 1

1. The GPTAL score is an acronym used by the doctors, nurses and other health care provider to made an outline of the obstetrical history of a woman. G stands for no. Pregnency, P stands for no. of preterm birth( baby born upto 37 weeks), T stands for no. of Term birth (baby born after 38 weeks), A stands for no. of Abortions or miscarriage and L stands for no. of living child.

I. In first case G3,T1, P0, A1, L1. As she is at present pregnent and alrady has a baby who was born in pre term.

ii. In second case of Anna the score will be G3, T1, P1, A1, L2. As the no. of pregnancy is same and the child is born in 33 weeks so, it is a preterm birth.

iii. In case of Brooke G3, T1, P0, A1, L1. As she is pregnant at present, and already gave birth of a girl at 41 weeks and had a miscarriage.

iv. In case of Alyssa G3, T2, P1, A0, L3. As she has 3 living children, no miscarriage and two were in term birth 39 1/7 weeks and 40 2/7 weeks and one was preterm at 37 weeks.

2. The most concern finding is the fundal hight is 19 cm.

As after 24 weeks of gestation the fundal hight is more or less 2 cm of the geastational age. But here it only 19 cm so, the growth of the fetas is slow and it requires to report to the physician.

3. It is unable to determine the EBD.

As Malia, 37 yrs. age woman is using YAZ birth control pills for last 3 yrs. in a regular basis there is no chance of getting pregnant. The withdrawal bleed is not a menstrual bleeding as it not contain the secondary oocyte and contain endothelial cells, hormones and some amount of blood.

4. The women may have placenta previa.

As she already has 2 C sections in previous 2 deliveries. And she had a sudden onset of intense localised pain in abdomen and had no bleeding it means the placenta may be blocked the cervix and due to previous C sections.