Pediatrics Proctored exam
A nurse in a prenatal clinic is reviewing the health record of a client who is at 28 weeks of gestation. The history includes one pregnancy, terminated by elective abortion at 9 weeks; the birth of twins at 36 weeks; and a spontaneous abortion at 15 weeks. According to the GTPAL system, which of the following describes the client's current status?
Explanation & Rationale
G (Gravida): Total number of pregnancies, including the current one. The client has had four pregnancies (elective abortion, twins, spontaneous abortion, and current pregnancy) → 4. T (Term births): Births at ≥37 weeks. The twins were born at 36 weeks → 0. P (Preterm births): Births between 20–36 weeks. Twins at 36 weeks → 1. A (Abortions): Spontaneous or elective abortions before 20 weeks. Elective abortion at 9 weeks and spontaneous abortion at 15 weeks → 2. L (Living children): Number of living children. The twins survived → 2.
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