{"id":139472,"date":"2024-09-17T10:04:59","date_gmt":"2024-09-17T10:04:59","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=139472"},"modified":"2024-09-17T10:05:03","modified_gmt":"2024-09-17T10:05:03","slug":"a-nurse-in-a-prenatal-clinic-is-reviewing-the-medical-record-of-a-client-who-is-at-28-weeks-of-gestation","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/17\/a-nurse-in-a-prenatal-clinic-is-reviewing-the-medical-record-of-a-client-who-is-at-28-weeks-of-gestation\/","title":{"rendered":"A nurse in a prenatal clinic is reviewing the medical record of a client who is at 28 weeks of gestation"},"content":{"rendered":"\n<p>A nurse in a prenatal clinic is reviewing the medical record of a client who is at 28 weeks of gestation. The client&#8217;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?<\/p>\n\n\n\n<p>A.<br>2-0-0-2-2<\/p>\n\n\n\n<p>B.<br>0-2-0-2-2<\/p>\n\n\n\n<p>C.<br>1-0-2-2-2<\/p>\n\n\n\n<p>D.<br>2-0-1-2-2<\/p>\n\n\n\n<p>E.<br>A nurse in a prenatal clinic is reviewing the medical record of a client who is at 28 weeks of gestation. The client&#8217;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?<\/p>\n\n\n\n<p><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-ast-global-color-6-color\"><strong>The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n<p>The correct answer is <strong>D. 2-0-1-2-2<\/strong>.<\/p>\n\n\n\n<p>Here&#8217;s the explanation:<\/p>\n\n\n\n<p>The GTPAL system is used to describe a woman&#8217;s obstetric history. The acronym stands for:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>G<\/strong>: Gravida &#8211; the total number of pregnancies, including the current one.<\/li>\n\n\n\n<li><strong>T<\/strong>: Term births &#8211; the number of pregnancies delivered at 37 weeks of gestation or later.<\/li>\n\n\n\n<li><strong>P<\/strong>: Preterm births &#8211; the number of pregnancies delivered between 20 and 36 weeks of gestation.<\/li>\n\n\n\n<li><strong>A<\/strong>: Abortions &#8211; the number of pregnancies that ended before 20 weeks of gestation, including both spontaneous and elective abortions.<\/li>\n\n\n\n<li><strong>L<\/strong>: Living children &#8211; the number of living children.<\/li>\n<\/ul>\n\n\n\n<p>In the provided case:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Gravida (G)<\/strong>: This is the total number of pregnancies. The woman has had the following:<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>One elective abortion at 9 weeks (this counts as a pregnancy).<\/li>\n\n\n\n<li>One pregnancy resulting in the birth of twins at 36 weeks.<\/li>\n\n\n\n<li>One spontaneous abortion at 15 weeks.<\/li>\n\n\n\n<li>She is currently 28 weeks pregnant. So, G = 4.<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Term births (T)<\/strong>: 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.<\/li>\n\n\n\n<li><strong>Preterm births (P)<\/strong>: These are pregnancies delivered between 20 and 36 weeks. The woman had the twins delivered at 36 weeks. So, P = 1.<\/li>\n\n\n\n<li><strong>Abortions (A)<\/strong>: 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.<\/li>\n\n\n\n<li><strong>Living children (L)<\/strong>: The woman has twins from the pregnancy at 36 weeks, which means she has 2 living children. So, L = 2.<\/li>\n<\/ol>\n\n\n\n<p>Combining these details, the GTPAL for this woman is <strong>4-0-1-2-2<\/strong>. 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, <strong>D. 2-0-1-2-2<\/strong> appears to be the closest approximation given the provided choices.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A nurse in a prenatal clinic is reviewing the medical record of a client who is at 28 weeks of gestation. The client&#8217;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, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-139472","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/139472","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=139472"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/139472\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=139472"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=139472"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=139472"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}