GTPAL
A mother with live twins at home who were born at 34 weeks, has had a miscarriage, and just gave birth to a girl at 39 weeks
What is G 3 T 1 P 1 A 1 L 3
Nursing interventions include monitoring lochia, weighing pads, and massaging the fundus
Some roles of the nurse during this phase is to educate and assist with breastfeeding, frequent fundal massage, and monitoring pain
Stage 4
Gestational age range when GBS status should be determined
35-37 weeks
APGAR abbreviation meaning
activity, pulse, grimace, appearance, respirations
A mother who just delivered triplets at 35 weeks
G: 1 T: 0 P: 1 A: 0 L: 3
The priority action is to assist the patient experiencing this condition into knee-chest or Trendelenburg position, then administering oxygen and preparing for C-section
What is cord prolapse?
This stage is typically longest, especially for first time mothers
Stage 1, latent
Gestational age range when an ultrasound should be done to monitor for anatomical abnormalities and amniotic fluid levels
18-20 weeks
A newborn's one minute APGAR score is 8. The nurse will implement _______ nursing care to correspond.
Routine nursing care
27 year old who is 16 weeks pregnant. She has 2 year-old twins that were born at 39 weeks gestation and a 5 year-old who was born at 40 weeks gestation.
G 3 T 2 P 0 A 0 L 3
Nurse assesses stained amniotic fluid and the baby is showing signs of respiratory distress after delivery
What is meconium aspiration syndrome?
During this stage, the nurse's role includes encouragement, breathing techniques, and support before, during, and after contractions
Stage 1, transition
Gestational age range when viable pregnancy and gestational age are determined
5-8 weeks
A newborn's five minute APGAR score is 5. You provide the following nursing interventions...
Some resuscitation assistance such as oxygen and rubbing baby’s back and reassess APGAR score. Repeat APGAR scoring at 10 and 15 minutes.
30 y/o is 25 weeks pregnant with twins. She has 5 living children. Four of the 5 children were born at 39 weeks and one child was born at 27 weeks. Two years ago she had a miscarriage at 10 weeks gestation.
G 7 T 4 P 1 A 1 L 5
Stage 2
Gestational age when gestational diabetes screening should be performed
24-28 weeks
You’re assessing the one minute APGAR score of a newborn baby. On assessment, you note the following about your newborn patient: heart rate 130, pink body and hands with cyanotic feet, weak cry, flexion of the arms and legs, active movement and crying when stimulated. You record an APGAR score of ___.
APGAR 8.....A: 1, P: 2, G, 2, A: 2, R: 1
A mother with 10 children, pregnant with her 11th. She has two sets of twins and had two miscarriages. All births were after 37 weeks except for 1.
G 9 T 7 P 1 A 2 L10
a drop in blood pressure and elevated heart rate may indicate hemorrhage, especially in this stage
Gestational age range when risk for down syndrome, Trisomy 18, and neural tube defects are monitored
15-20 weeks
You’re assessing the five minute APGAR score of a newborn baby. On assessment, you note the following about your newborn patient: heart rate 97, no response to stimulation, flaccid, absent respirations, cyanotic throughout. The nurse records an APGAR score of ___.
APGAR 1:...A: 0, P: 1, G, 0, A: 0, R: 0