A pregnant client comes to the office for her first prenatal examination at 10 weeks. She has been pregnant twice before; the first delivery produced a viable baby girl at 39 weeks 3 years ago; the second pregnancy produced a viable baby boy at 36 weeks 2 years ago.
Both children are living and well. Using the GTPAL system to record her obstetrical history, the nurse should record:
A . 3-2-0-0-2
B . 2-2-0-2-2
C . 3-1-1-0-2
D . 2-1-1-0-2
Answer: C
Explanation:
(A) This answer is an incorrect application of the GTPAL method. One prior pregnancy was a preterm birth at 36 weeks (T =1, P= 1; not T = 2).
(B) This answer is an incorrect application of the GTPAL method. The client is currently pregnant for the third time (G = 3, not 2), one prior pregnancy was preterm (T= 1, P= 1; not T= 2), and she has had no prior abortions (A =0).
(C) This answer is the correct application of GTPAL method. The client is currently pregnant for the third time (G =3), her first pregnancy ended at term (>37 weeks) (T = 1), her second pregnancy ended preterm 20C33 weeks) (P = 1), she has no history of abortion (A=0), and she has two living children (L = 2).
(D) This answer is an incorrect application of the GTPAL method. The client is currently pregnant for the third time (G =3, not 2).