A nurse is caring for a client who is pregnant for the fourth time.The client delivered two full-term newborns and had one spontaneous abortion at 10 weeks of gestation.The nurse should document the client's obstetrical history as which of the following?
Explanation & Rationale
Choice A rationaleGravida represents the number of pregnancies; para represents live births. Gravida 3, Para 2 omits one pregnancy, the spontaneous abortion. Thus, this documentation is scientifically inaccurate.Choice B rationaleGravida 3 omits the fourth pregnancy. Para 3 incorrectly includes the abortion as a live birth, failing to align with obstetrical documentation standards, which distinguish live births from abortions.Choice C rationaleGravida 4 includes all pregnancies, while Para 2 represents the two live births, excluding the spontaneous abortion. This documentation is scientifically accurate and adheres to obstetrical guidelines.Choice D rationaleGravida 4 is correct for all pregnancies, but Para 3 incorrectly includes the spontaneous abortion as a live birth, conflicting with proper obstetrical documentation standards.