The nurse performs an obstetrics history on a client seeking antenatal care for a confirmed pregnancy. The client reports having six-year-old twins born at 39 gestational weeks. She had an ectopic pregnancy at four gestational weeks that occurred sixteen weeks ago.
When completing the client's documentation, the nurse should record the GTPAL as
The nurse performs an obstetrics history on a client seeking antenatal care for a confirmed pregnancy. The client reports having six-year-old twins born at 39 gestational weeks. She had an ectopic pregnancy at four gestational weeks that occurred sixteen weeks ago.
When completing the client's documentation, the nurse should record the GTPAL as
A. G = 3, T = 1, P = 0, A = 1, L = 2
[60%]
B. G = 3, T = 2, P = 0, A = 1, L = 2
[27%]
C. G = 4, T = 2, P = 0, A = 1, L = 2
[9%]
D. G = 3, T = 2, P = 0, A = 1, L = 1
[4%]
Statistics
Subject/Lesson
Subject
Maternal & Newborn Health
Lesson
Antepartum
Client Need
Test Plan
Health Promotion and Maintenance
Related Topic
Ante/Intra/Postpartum and Newborn Care
Item Type
Item Type
Analysis
Explanation
Choice A is correct.
→ The client's total number of pregnancies (including the current one) is three.
This is documented under gravida (G). She is currently pregnant, had one ectopic pregnancy, and was pregnant with twins.
Multifetal pregnancies count as one (1).
→ The client has had one-term birth: the twins were born at 39 gestational weeks.
This is documented under the term (T).
Term is any birth after 37 gestational weeks.
Multifetal pregnancies count as one (1).
→ The client has not had any preterm (P) births (any birth between 20 and 37 gestational weeks).
Multifetal pregnancies count as one (1).
→ The client has had one ectopic pregnancy, which is documented as an abortion (A).
Multifetal pregnancies count as one (1).
→ The client has two living (L) children, the twins, who were born at 39 gestational weeks.
This counts for each child born individually.
Related Videos
2 Key Topics
GTPAL
28.4 Pregnancy Documentation & Physical Changes
Additional Info
