When giving her obstetrical history, your pregnant client tells you that she has had two prior pregnancies. She had a miscarriage with the first pregnancy at 8 weeks

The second pregnancy was twin girls who were born at 34 weeks, but died 3 days later. The nurse should record that the client is: 1. Gravida 3 para 1.
2. Gravida 3 para 0.
3. Gravida 3 para 2.
4. Gravida 2 para 3.


1
Rationale:
1. Gravida refers to the total number of pregnancies. Para refers to the number of births that occurred after 20 weeks' gestation, regardless of whether the deliveries were born alive or stillborn, and also regardless of whether the children are still living. This client is in her third pregnancy, making her a gravida 3. She had one delivery after 20 weeks—her twins, at 34 weeks. A multifetal gestation like twins or triplets or higher is considered one pregnancy and one delivery.
2. Gravida refers to the total number of pregnancies. Para refers to the number of births that occurred after 20 weeks' gestation, regardless of whether the deliveries were born alive or stillborn, and also regardless of whether the children are still living. This client is in her third pregnancy, making her a gravida 3. She had one delivery after 20 weeks—her twins, at 34 weeks. A multifetal gestation like twins or triplets or higher is considered one pregnancy and one delivery.
3. Gravida refers to the total number of pregnancies. Para refers to the number of births that occurred after 20 weeks' gestation, regardless of whether the deliveries were born alive or stillborn, and also regardless of whether the children are still living. This client is in her third pregnancy, making her a gravida 3. She had one delivery after 20 weeks—her twins, at 34 weeks. A multifetal gestation like twins or triplets or higher is considered one pregnancy and one delivery.
4. Gravida refers to the total number of pregnancies. Para refers to the number of births that occurred after 20 weeks' gestation, regardless of whether the deliveries were born alive or stillborn, and also regardless of whether the children are still living. This client is in her third pregnancy, making her a gravida 3. She had one delivery after 20 weeks—her twins, at 34 weeks. A multifetal gestation like twins or triplets or higher is considered one pregnancy and one delivery.

Nursing

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