Question

A woman being seen for her first prenatal care appointment has a positive home pregnancy test, and her chart shows a TPALM recording of 40120. The nurse would anticipate that:

1. minimal prenatal teaching will be required because this is her fourth pregnancy.
2. the woman will need help in planning the care of her other children at home during her labor and delivery.
3. the woman should experience minimal anxiety because she is familiar with the progress of pregnancy.
4. this pregnancy will be considered high risk, and measures to reduce anxiety will be needed.

Answer 1

The TPALM recording of 40120 does not automatically classify the pregnancy as high risk. Other factors need to be considered to determine the risk level. The nurse may implement measures to reduce anxiety if the pregnancy is classified as high risk.

Step-by-step explanation:

The TPALM recording of 40120 indicates that the woman has had a total of 4 pregnancies (T), 0 preterm pregnancies (P), 1 full-term pregnancy (A), 2 living children (L), and 0 multiple pregnancies (M). The nurse would not automatically consider this pregnancy as high risk based solely on the TPALM recording. The TPALM recording is a shorthand notation used by healthcare professionals to quickly assess a woman's obstetric history, but it does not provide a comprehensive picture of the current pregnancy's risks or complications.

To determine if this pregnancy is high risk, the nurse would need to consider other factors such as the woman's age, medical history, any existing conditions or complications, and the results of specific prenatal tests. If any of these factors indicate a higher likelihood of complications, the nurse may classify the pregnancy as high risk and implement appropriate measures to reduce anxiety, such as providing additional support, education, and resources for the woman.