Negele’s Rule - ANS ✔1st day of LMP + 7 days - 3 months + 1 year = EBD
OR
1st day of LMP + 7 days + 9 months = EBD
example:
April 15, 2019 = January 22, 2020
March 6, 2020 = December 13, 2020
LMP - ANS ✔last menstrual period
1
,NUR201 EXAM
GTPAL - ANS ✔gravida, term births, preterm births, abortions, living
children
Gravida (GTPAL) - ANS ✔number of times pregnant including current
pregnancy
primigravida - first pregnancy
multigravida - more than one pregnancy
Term Births (GTPAL) - ANS ✔number of term births
37 + weeks
preterm births (GTPAL) - ANS ✔number of preterm births
between 20 weeks - 36 weeks + 6 days
twins can be counted as one or two
Abortions (GTPAL) - ANS ✔number of abortions or miscarriages
2
,NUR201 EXAM
under 20 weeks
Living Children (GTPAL) - ANS ✔number of living children
G/P - ANS ✔gravida/para
gravida - number of pregnancies
para - number of births at 20+ weeks regardless of dead or alive
this method does not provide nearly enough info so not commonly
used !
BUBBLLEE - ANS ✔Breasts- firmness, nipples (intact/lacerated)
Uterus: Fundus (locant, consistency)
Bladder
Bowel
Lochia: rubra, serosa, alba (bleeding which comes from vag after
birth)
Legs: peripheral edema
Episiotomy/ Incision
Emotional response
3
, NUR201 EXAM
a nurse is assessing for urinary retention should intervene if the
client has not voided within how many hours after childbirth?
a. 2
b. 5
c. 8
d. 12 - ANS ✔c. 8
What is the priority nursing action for a woman with a 4th degree
perineal laceration?
A) Provide prescribed oral pain medication and stool softener.
B) Encourage warm sitz baths 2 to 3 times daily.
C) Apply perineal ice packs consistently for the first 24 hours.
D) Teach proper and frequent use of the peri-bottle. - ANS ✔C) Apply
perineal ice packs consistently for the first 24 hours.
The nurse prepares to administer an injection of vitamin K to a
newborn infant. The mother tells the nurse, "Wait..." Which response
what be best for the nurse to make? - ANS ✔Explore mother's concerns
about infant receiving vitaK
The nurse is discussing the stages of labor with a group of women in
the last month of pregnancy and provides examples of different
4
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