When assessing a client at 38-weeks gestation, the practical nurse (PN) determines that she has one set of twins, who are now 6 years old, another child 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?

Gravida refers to the total number of times the woman has been pregnant, regardless of the outcome or the number of fetuses. Pregnancy 1: The twins (Current 6-year-olds) = 1 Pregnancy 2: The 4-year-old child = 1 Pregnancy 3: The fetal loss at 24 weeks = 1 Pregnancy 4: The current pregnancy (38 weeks) = 1 Total Gravida = 4 Parity is the number of pregnancies that reached viability (20 weeks or more), resulting in the birth of a fetus, whether the infants were born alive or stillborn. Pregnancy 1 (Twins): Counts as 1 (Parity refers to the number of pregnancies/events, not the number of babies). Pregnancy 2 (4-year-old): Counts as 1. Pregnancy 3 (Loss at 24 weeks): Counts as 1 because it passed the 20-week viability mark. Pregnancy 4 (Current): Does not count toward parity yet, as the birth has not occurred. Total Para = 3