A client at 10 weeks gestation provides the following obstetric history to the nurse at the first prenatal visit: elective abortion at age 17, a 5-year-old daughter born at 40 weeks gestation, and 3-year-old twin boys born at 34 weeks gestation.Using GTPAL notation, which documentation appropriately describes the client's obstetric history?
Explanation & Rationale
Choice A rationaleThis notation indicates three pregnancies (G3), one term birth (T1), two preterm births (P2), one abortion (A1), and three living children (L3). While the number of living children is correct, the total number of pregnancies is underestimated by excluding the current pregnancy.Choice B rationaleThis notation accurately reflects four pregnancies (G4: the elective abortion, the daughter, the twins, and the current pregnancy), one term birth (T1: the daughter born at 40 weeks), two preterm births (P2: the twin boys born at 34 weeks), one abortion (A1: the elective abortion), and three living children (L3: the daughter and the twin boys).Choice C rationaleThis notation indicates three pregnancies (G3), one term birth (T1), one preterm birth (P1), one abortion (A1), and three living children (L3). The number of preterm births is incorrect, as there were two preterm births (the twins).Choice D rationaleThis notation indicates four pregnancies (G4), one term birth (T1), one preterm birth (P1), one abortion (A1), and three living children (L3). The number of preterm births is incorrect, as there were two preterm births (the twins).