A nurse in a prenatal clinic is reviewing the record of a patient at 28 weeks gestation. The woman's history reveals one pregnancy terminated by elective abortion at 12 weeks; the birth of twins at 34 weeks and a spontaneous abortion at 15 weeks. According to the GTPAL system, which of the following describes her present situation?
Explanation & Rationale
Step 1: Understand GTPAL G = Gravida (total number of pregnancies, including current) T = Term births (≥37 weeks) P = Preterm births (20–36 6/7 weeks) A = Abortions (spontaneous or elective <20 weeks) L = Living children Step 2: Count based on patient history Gravida (G): Total pregnancies = 1 elective abortion + twins + spontaneous abortion = 3 completed pregnancies + current pregnancy = 4 → G = 4 Term births (T): Birth ≥37 weeks = None → T = 0 Preterm births (P): Birth 20–36 6/7 weeks = twins at 34 weeks → P = 1 Abortions (A): Spontaneous or elective <20 weeks = elective abortion at 12 weeks + spontaneous at 15 weeks → A = 2 Living children (L): Twins survived → L = 2 Step 3: Combine numbers G = 4, T = 0, P = 1, A = 2, L = 2 → 4-0-1-2-2