A client at 39 weeks gestation is admitted in early labor. During the focused assessment, the practical nurse (PN) reviews the obstetrical history of the client who states that she has been pregnant five times but has only two living children, both of whom were full-term. The other three pregnancies were miscarriages during the first trimester. Which parity should the PN document for the term, premature, abortion, and living children (TPAL) for this client?

TPAL stands for Term, Premature, Abortion, and Living children, and it is used to document a client's obstetrical history. In this case, the client has had a total of 5 pregnancies: Two pregnancies resulted in full-term (term) births, so the Term value is 2. Three pregnancies resulted in miscarriages during the first trimester (abortion), so the Abortion value is 3. The client has two living children, so the Living value is 2. There is no mention of any premature births, so the Premature value is 0. Therefore, the appropriate documentation for this client's TPAL is Term 2, Premature 0, Abortion 3, and Living 2.