A pregnant client has a history of giving birth to one set of twin boys, one term girl and 2
early spontaneous abortions. What is her gravida and para? - ANSWER .>>>She is
gravida 4, Para 2
Gravida indicates the number of times the mother has been pregnant, regardless of
whether these pregnancies were carried to term. A current pregnancy, if any, is included
in this count.
Para indicates the number of >20 wks births (including viable and non-viable i.e.
stillbirths). Pregnancies consisting of multiples, such as twins or triplets, count as ONE
birth for the purpose of this notation.
A nurse is providing care for an uncircumcised male newborn and his mother. What
information should be provided during discharge regarding bathing of the penile area of
the newborn male? - ANSWER .>>>To cleanse an uncircumcised penis, wash with
soap and water and rinse the penis. The foreskin should not be forced back or
constriction may result.
The 24-year-old client inquires about use of the diaphragm for birth control. What five
(5) instructions would be provided by the nurse to explain use of the diaphragm? -
ANSWER .>>>●A client should be properly fitted with a diaphragm by a provider.
●Replaced every 2 years and refitted for a 20% weight fluctuation, after abdominal or
pelvic surgery, and after every pregnancy.
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