A woman who has delivered once a fetus who reached the stage of viability is called

Appeared in: NHM UP Staff Nurse-2021 Shift-2nd

Explanation

The term for a woman who has completed one pregnancy to the stage of viability (20 weeks or more) is 'Primipara'.
This definition applies regardless of whether the fetus was born alive or dead.
It specifically denotes a woman who has given birth for the first time to a viable infant.

Option A: Gravida refers to the state of being pregnant or the total number of pregnancies a woman has had, irrespective of the outcome or duration.
Option B: Parity is a broader term that refers to the number of pregnancies that have reached 20 weeks of gestation. 'Primipara' is the specific term for a woman with a parity of one.
Option C: Nullipara refers to a woman who has never completed a pregnancy beyond 20 weeks of gestation. This is the opposite of the woman described in the question.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Obstetrical Terminology: Gravidity and Parity as background academic context rather than a clinical decision trigger.
Accurate documentation of a patient's gravidity and parity is fundamental in obstetrics. It helps in risk stratification, as certain complications are more common in nulliparous (e.g., preeclampsia) or multiparous (e.g., placenta previa, postpartum hemorrhage) women.
Understanding these terms is essential for clear communication among healthcare providers, ensuring continuity and safety of care.
What if the woman had delivered twins in her first pregnancy? She would still be a primipara (and a multigravida). Parity counts the number of pregnancies reaching viability, not the number of fetuses delivered.

How to Approach the Question

This is a factual recall question based on standard obstetrical definitions.
First, break down the question stem: 'A woman who has delivered once a fetus who reached the stage of viability'.
The key components are 'delivered once' and 'stage of viability'.
Next, review the definitions of each option.
Gravida relates to the number of pregnancies, not deliveries.
Parity is the general term for deliveries after viability.

Concept Tested & Keywords

Qa7n01TnXj4xz9bTqjwfFl

E6 Obstetrics Williams pp. 71-95, 72-95

Practise the full NHM UP Staff Nurse-2021 Shift-2nd

Attempt every question from this paper in a timed mock, then review the full solution for each one.