A nurse in a prenatal clinic is reviewing the health record of a client who is at 28 weeks of gestation. The history includes a pregnancy terminated by elective abortion at 9 weeks: and a pregnancy that resulted in the birth of a singleton at 39 weeks, currently alive and well. According to the GTPAL system, which of the following describes the client's current status?
Explanation & Rationale
A. G3 T0 P2 A1 L1: This option incorrectly states that the client has had two preterm births, which she has not. She has had one full-term birth and one abortion, making the parity count inaccurate in this case. B. G2 T1 P0 A0 L2: This count underrepresents the client’s total pregnancies (G2 instead of G3) and indicates no abortions, which contradicts the elective abortion at 9 weeks. It also incorrectly lists two living children instead of one. C. G2 T1 P0 A1 L2: While it correctly lists the term birth and abortion, it inaccurately lists two living children and indicates the client has had only two pregnancies instead of three, making the gravida count incorrect. D. G3 T1 P0 A1 L1: The client has had three pregnancies (G3), one term birth (T1), no preterm births (P0), one abortion (A1), and one living child (L1). This option accurately reflects her obstetric history using the GTPAL system.