NursingPlex
    Sign In
    ATI Capstone Maternal Newborn Proctored Exam

    A nurse is caring for a client who is pregnant for the fourth time.The client delivered two full-term newborns and had one spontaneous abortion at 10 weeks of gestation.The nurse should document the client's obstetrical history as which of the following?

    Explanation & Rationale

    Choice A rationaleGravida refers to total pregnancies, not live births, thus excluding the client's current pregnancy inaccurately lowers her gravida count from 4 to 3 in this documentation.Choice B rationalePara reflects live births, not pregnancies, thus inaccurately including her spontaneous abortion as a parity increases her para count from 2 to 3, which contradicts obstetric standards.Choice C rationaleGravida 4 reflects the client’s total pregnancies, including the current one and her abortion, while Para 2 accounts for her two full-term live births, accurately documenting her obstetrical history.Choice D rationalePara 3 includes the abortion, contradicting obstetric definitions that exclude non-viable pregnancies from parity, making this documentation scientifically incorrect in context. .

    🔒 Submit your answer to reveal