The nurse determines the GTPAL for a client who is pregnant with twins. The client’s record reveals that the client has an 8-year-old son and a 6-year-old daughter who were born at 41 weeks and 37 weeks, respectively. The client had a miscarriage at 5 weeks gestation. The nurse documents the GTPAL of the client as:
  1. G5 T1 P1 A1 L2
  2. G4 T1 P1 A1 L2
  3. G5 T2 P0 A1 L2
  4. G4 T0 P2 A1 L2
Explanation
Answer: B - The client’s G(gravidity: the number of times pregnant), T(term birth: birth at 40 weeks or more), P (preterm: birth less than 40 weeks), A (abortion: number of abortions or miscarriages), and L (living: number of live births) is G4 T1 P1 A1 L2. Gravidity would include the present pregnancy. A twin pregnancy is counted as 1.
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