2024 PN NCLEX Questions Nursing Practice Question
A client is pregnant for the sixth time. She tells the nurse that she has had three elective first-trimester abortions and that she has a son who was born at 40 weeks' gestation and a daughter who was born at 36 weeks' gestation. In calculating the gravidity and para (parity), the nurse determines that the client is:
Correct Answer: B
Rationale: In this scenario, the client is pregnant for the sixth time, indicating a gravidity (G) of 6. The para (P) count includes all pregnancies carried to 20 weeks or more, regardless of outcome. The client has one full-term son (40 weeks) and one preterm daughter (36 weeks), totaling 2 viable births. The three elective abortions do not contribute to the para count, as they ended before 20 weeks. Thus, the correct classification is Gravida 6, Para 2.
Options A, C, and D misinterpret the gravidity and parity calculations by either undercounting the pregnancies or misclassifying the outcomes, leading to inaccuracies in both G and P values.