A nurse in a prenatal clinic is reviewing the medical record of a client who is at 28 weeks of gestation. The client’s history reveals one pregnancy terminated by elective abortion at 9 weeks; the birth of twins at 36 weeks; and a spontaneous abortion at 15 weeks of gestation. According to the GTPAL system, which of the following describes her present parity?
A.
2-0-0-2-2
B.
0-2-0-2-2
C.
1-0-2-2-2
D.
2-0-1-2-2
E.
A nurse in a prenatal clinic is reviewing the medical record of a client who is at 28 weeks of gestation. The client’s history reveals one pregnancy terminated by elective abortion at 9 weeks; the birth of twins at 36 weeks; and a spontaneous abortion at 15 weeks of gestation. According to the GTPAL system, which of the following describes her present parity?
The correct answer and Explanation is :
The correct answer is D. 2-0-1-2-2.
Here’s the explanation:
The GTPAL system is used to describe a woman’s obstetric history. The acronym stands for:
- G: Gravida – the total number of pregnancies, including the current one.
- T: Term births – the number of pregnancies delivered at 37 weeks of gestation or later.
- P: Preterm births – the number of pregnancies delivered between 20 and 36 weeks of gestation.
- A: Abortions – the number of pregnancies that ended before 20 weeks of gestation, including both spontaneous and elective abortions.
- L: Living children – the number of living children.
In the provided case:
- Gravida (G): This is the total number of pregnancies. The woman has had the following:
- One elective abortion at 9 weeks (this counts as a pregnancy).
- One pregnancy resulting in the birth of twins at 36 weeks.
- One spontaneous abortion at 15 weeks.
- She is currently 28 weeks pregnant. So, G = 4.
- Term births (T): These are pregnancies delivered at 37 weeks or later. The woman had one pregnancy resulting in the birth of twins at 36 weeks, which is not counted as a term birth. So, T = 0.
- Preterm births (P): These are pregnancies delivered between 20 and 36 weeks. The woman had the twins delivered at 36 weeks. So, P = 1.
- Abortions (A): These include both spontaneous and elective abortions occurring before 20 weeks. The woman had one elective abortion at 9 weeks and one spontaneous abortion at 15 weeks. So, A = 2.
- Living children (L): The woman has twins from the pregnancy at 36 weeks, which means she has 2 living children. So, L = 2.
Combining these details, the GTPAL for this woman is 4-0-1-2-2. However, the provided options seem to have an issue with the format. According to standard practice, the correct parity should be 4-0-1-2-2, but based on your options, D. 2-0-1-2-2 appears to be the closest approximation given the provided choices.