When assessing a client at 38-weeks gestation, the practical nurse (PN) determines that she has one set of female twins, who are now 6 years old, a son who is 4 years old, and last year she had a fetal loss at 24-weeks gestation. Which is the correct gravidity and parity for this client?

A. Gravida-4, Para-3: Gravida refers to the total number of pregnancies, and this client has been pregnant four times (twins, son, fetal loss, and current pregnancy). As there are 2 children from the twins and 1 child aged 4 the parity is 4. The fetal loss at 24 weeks is not considered viable gestational age. B. Gravida-5, Para-3: This option incorrectly counts one extra pregnancy. The client has had four total pregnancies (not five), and only two resulted in live births beyond 20 weeks. The fetal loss at 24 weeks does not add to the parity count since the baby was not viable. C. Gravida-4, Para-4: Gravida 4 accounts for all pregnancies, however since the fetal loss is included in the count, the parity is incorrectly stated as 4 D. Gravida-5, Para-2: This option counts the twin pregnancy as two different pregnancies which is incorrect. Parity of 2 does not account for the twins.