Maternity Nursing: Antepartum Q 24

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A pregnant client is making her first antepartum visit. She has a 2-year-old son born at 40 weeks, a 5-year-old daughter born at 38 weeks, and 7-year-old twin daughters born at 35 weeks. She had a spontaneous abortion 3 years ago at 10 weeks. Using the GTPAL format, the nurse should identify that the client is:

  

     A. G4 T3 P2 A1 L4

     B. G5 T2 P2 A1 L4

     C. G5 T2 P1 A1 L4

     D. G4 T3 P1 A1 L4

    

    

Correct Answer: C. G5 T2 P1 A1 L4.

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5 pregnancies; 2 term births; twins count as 1; one abortion; 4 living children. A good starting point is to ask about the number of children the patient has given birth to. Next, sensitively ask about miscarriages, stillbirths, ectopics and terminations.

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Option A: Gravida should be 5, term births should be 3, and parity should be 1. Gravidity is the total number of pregnancies, regardless of outcome.

Option B: Parity should be 1. Parity is the total number of pregnancies carried over the threshold of visibility.

Option D: Gravida should be 5, and term births should be 2.

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