A woman presents to the clinic in the first trimester of pregnancy. She has three children living at home. One of them was born prematurely at 34 weeks. The other two were full-term at birth. She has a history of one miscarriage. How do you record her obstetric history on the chart using GTPAL format?

GTPAL stands for Gravida, Term, Preterm, Abortions, Living Children. Gravida (G) is the total number of pregnancies, including the current one. This client has had three children plus one miscarriage, and is currently pregnant, making G = 5. Term (T) refers to pregnancies delivered at 37 weeks 0 days gestation or beyond. The client has two full-term children, so T = 2. Preterm (P) refers to pregnancies delivered between 20 weeks 0 days and 36 weeks 6 days gestation. The client had one child born prematurely at 34 weeks, so P = 1. Abortions (A) includes miscarriages and induced abortions before 20 weeks gestation. The client has a history of one miscarriage, so A = 1. Living (L) refers to the number of living children. The client has three children living at home, so L = 3. Therefore, the correct GTPAL is G5 T2 P1 A1 L3.