A nursing student is asked to calculate the GTPAL for a client presenting to the OB clinic for a prenatal visit. The client has the following obstetric history: Exhibits Which of the following GTPAL calculations correctly reflects the client's obstetric history?
Explanation & Rationale
A. Gravida (G) → Total pregnancies: 5 (including current pregnancy). Term (T) → Pregnancies delivered at ≥37 weeks: 2 (2015, 2018). Preterm (P) → Pregnancies delivered at <37 weeks: 1 (2020, twins at 35 weeks). Abortion (A) → Pregnancy losses before 20 weeks: 1 (2010, spontaneous abortion). Living (L) → Living children: 3 (2 term deliveries + 1 surviving twin from preterm birth). B. Gravida (G) → Total pregnancies: 5 (including current pregnancy). Term (T) → Pregnancies delivered at ≥37 weeks: 2 (2015, 2018). Preterm (P) → Pregnancies delivered at <37 weeks: 1 (2020, twins at 35 weeks). Abortion (A) → Pregnancy losses before 20 weeks: 1 (2010, spontaneous abortion). Living (L) → Living children: 3 (2 term deliveries + 1 surviving twin from preterm birth). C. Gravida (G) → Total pregnancies: 5 (including current pregnancy). Term (T) → Pregnancies delivered at ≥37 weeks: 2 (2015, 2018). Preterm (P) → Pregnancies delivered at <37 weeks: 1 (2020, twins at 35 weeks). Abortion (A) → Pregnancy losses before 20 weeks: 1 (2010, spontaneous abortion). Living (L) → Living children: 3 (2 term deliveries + 1 surviving twin from preterm birth). D. Gravida (G) → Total pregnancies: 5 (including current pregnancy). Term (T) → Pregnancies delivered at ≥37 weeks: 2 (2015, 2018). Preterm (P) → Pregnancies delivered at <37 weeks: 1 (2020, twins at 35 weeks). Abortion (A) → Pregnancy losses before 20 weeks: 1 (2010, spontaneous abortion). Living (L) → Living children: 3 (2 term deliveries + 1 surviving twin from preterm birth).