A client gave birth to a baby girl 24 hours ago at 39 weeks’ gestation. The child was delivered through cesarean section, and no complications were noted during labor. The client has three older kids, including a set of twins. The twins were born at 38 weeks’ gestation, and the youngest child was born at 35 weeks’ gestation. The client was pregnant 11 years ago but had a miscarriage on the 18th week of her pregnancy. About 5 years ago, she got pregnant, but the pregnancy was terminated at 25 weeks’ gestation. Based on the client’s history, she is accurately classified as:
Explanation
Answer: C - The client is accurately described as Gravida 5, Para 5, Term 3, Abortion 1, Living 4. The client was pregnant five times. The pregnancy with twins is counted as one pregnancy. There were 5 viable pregnancies (pregnanciies that went beyond 20 weeks; here the twins count as two viable offspring). There were 3 babies who were born at term, or at least at 37 weeks’ gestation. If a fetus does not go beyond 20 weeks’ gestation, it is classified as an abortion. There are 4 living children - the newborn, the twins and the child born at 35 weeks’ gestation.
