A pregnant woman came to the hospital with complaints of labor pain and vaginal bleeding. Upon admission, in acquiring her OB Score she told the nurse that she is on her 4th pregnancy, Her previous pregnancy she mention that she has delivered an identical twins for C-Section and she has delivered her second and third child delivered thru NSD. Her last menstrual period was June 28, 2022 and her check up date is November 7, 2022
Question
A pregnant woman came to the hospital with complaints of labor pain and vaginal bleeding. Upon admission, in acquiring her OB Score she told the nurse that she is on her 4th pregnancy, Her previous pregnancy she mention that she has delivered an identical twins for C-Section and she has delivered her second and third child delivered thru NSD. Her last menstrual period was June 28, 2022 and her check up date is November 7, 2022
Solution
Based on the information provided, we can determine the woman's OB score (also known as GTPAL score) and estimate her due date.
-
Gravida (G): The total number of pregnancies a woman has had, regardless of the outcome. In this case, the woman is on her 4th pregnancy, so G=4.
-
Term (T): The number of full-term pregnancies (deliveries after 37 weeks). The woman has delivered an identical twins via C-section and two other children through normal spontaneous delivery (NSD). So, T=3.
-
Preterm (P): The number of preterm pregnancies (deliveries from 20 weeks to 37 weeks). In this case, there is no mention of any preterm deliveries, so P=0.
-
Abortions (A): The number of pregnancies ending before 20 weeks. Again, there is no mention of any abortions, so A=0.
-
Living (L): The number of currently living children. Assuming all her children are alive, and considering she had twins in one pregnancy, L=4.
So, her OB score is G4 T3 P0 A0 L4.
To estimate her due date, we can use Naegele's rule, which adds one year, subtracts three months, and adds seven days to the first day of a woman's last menstrual period (LMP).
- Add one year to the LMP: June 28, 2022 + 1 year = June 28, 2023
- Subtract three months: June 28, 2023 - 3 months = March 28, 2023
- Add seven days: March 28, 2023 + 7 days = April 4, 2023
So, her estimated due date is April 4, 2023.
Similar Questions
71. Nursing care during the second stage of labor include:*1 pointA. coach breathing, encourage to bear down with each contractionB. careful evaluation of prenatal historyC. shave the perineumD. administer enema to the patient72. The nurse is caring for a client on her 2nd postpartum day. The nurse should expect the client's lochia to be:*1 pointA. red and moderateB. brown and scantyC. continuous with red clotsD. thin and white73. The nurse is assessing a client who gave birth yesterday. Where should the nurse expect to find the top of the client’s fundus?*1 pointA. 1 fingerbreadth above the umbilicusB. at the level of the umbilicusC. 1 fingerbreadth below the umbilicusD. below the symphysis pubis74. The nurse is helping to prepare a client for discharge following childbirth. During teaching a session, the nurse instructs the client to do Kegel exercise. What is the purpose of this exercise?*1 pointA. to tone the abdominal musclesB. to strengthen the perineal musclesC. to prevent urine retention .D. to relieve lower back pain75. Which of the following characteristics best describes that lochia is normal?*1 pointA. lochia amount increases with strenuous exerciseB. lochia is absent during the first 1-3 weeks after a cesarean birth.C. lochia contains no large clotsD. lochia is white for the first 1-3 days postpartum
Nicole just had a vaginal delivery of her second child 2 days ago. She breastfeeds her baby without difficulty. You visited her and during your postpartum assessment you EXPECT normal findings to be as:*1 pointA.Fundic height at 1 cm above the umbilicusB.Some feeling of after painsC.Voiding frequently, 50-75 mL per episode of voidingD.Pinkish to brownish vaginal discharge
The nurse is aware that a client at 40 weeks’ gestation is experiencing true labor if:*1 pointA. cervical dilatation has occurredB. the pains become more noticeableC. her membranes have rupturedD. the fetal heart rate baseline decreases
A pregnant Rh- woman who is on her first pregnancy has an Rh+ baby. The nurse is correct when she tells the patient1 point"The risk is lower since this is your first pregnancy""We will need you to have a cesarean in order for things to go well""This pregnancy will be dangerous, the 2nd one will be safer""This information is not relevant to the pregnancy"
Your friend is saying that she is 5 months pregnant. She got married 6 months ago. You were confused because when you examined her abdomen. You located the uterine fundus 3 fingers above the level of the umbilicus. You explained to your friend that she is already _______ pregnant.
Upgrade your grade with Knowee
Get personalized homework help. Review tough concepts in more detail, or go deeper into your topic by exploring other relevant questions.