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    ATI Maternity Proctored Exam

    The nurse is obtaining an obstetrical history on a currently pregnant woman. The client has an 18-month-old daughter who was delivered 2 days after estimated due date and a 3-year-old son who was born at 35 weeks' gestation. Before her son was born, she lost two pregnancies: one at 10 weeks and the other at 22 weeks. Using the GTPAL method, how would the nurse record this history?

    Explanation & Rationale

    A) G5 T1 P2 A1 L2: G (Gravida): Gravida refers to the total number of pregnancies, including the current pregnancy. In this case, the woman is currently pregnant and has had 4 previous pregnancies (one miscarriage at 10 weeks, one at 22 weeks, and two live births). Therefore, her Gravida (G) is 5. T (Term births): Term births are those that occur at or after 37 weeks of gestation. The woman delivered an 18-month-old daughter who was born 2 days after her due date, which is a term birth. Thus, her Term (T) is 1. P (Preterm births): Preterm births occur between 20 and 36 weeks of gestation. The woman had a son born at 35 weeks, which is classified as a preterm birth. Therefore, the Preterm (P) is 2. A (Abortions or miscarriages): Abortions refer to pregnancies that ended before 20 weeks of gestation. The woman experienced two miscarriages, one at 10 weeks and one at 22 weeks. Thus, the Abortions (A) is 1. L (Living children): Living children are those who are currently alive. The woman has a 3-year-old son and an 18-month-old daughter, so the Living (L) is 2. Thus, the correct GTPAL classification is G5 T1 P2 A1 L2. B) G5 T2 P2 A1 L2: This is incorrect because the woman had only one term birth (not two). She delivered her daughter at term, but the son was preterm (born at 35 weeks). Therefore, her Term (T) should be 1, not 2. C) G4 T1 P2 A2 L2: This is incorrect because the woman is currently pregnant, so her Gravida (G) is 5, not 4. Additionally, the woman had 1 abortion, not 2. D) G4 T1 P1 A2 L2: This is also incorrect because the woman is currently pregnant, so her Gravida (G) is 5, not 4. Furthermore, the woman had 2 preterm births, not 1.

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