Practice Question
The nurse is reviewing a client's obstetrical history during a prenatal visit. The client is currently 20 weeks pregnant, previously delivered a son at 37 weeks, had a stillbirth at 36 weeks, and had an elective abortion at 10 weeks. How should the nurse document the client's obstetrical history using the GTPAL system?
Answer Choices:
Correct Answer:
G4T1P1A1L1
Rationale:
🟦 Gravida (G4) includes the current pregnancy plus three prior pregnancies, regardless of outcome.
🟦 Term births (T1) counts the delivery at 37 weeks, which meets the definition of term (≥37 weeks).
🟦 Preterm births (P1) includes the stillbirth at 36 weeks, which is preterm even though the infant was not born alive.
🟦 Abortions (A1) includes the elective abortion at 10 weeks (abortions are <20 weeks, spontaneous or elective).
🟦 Living children (L1) reflects the one living child, the son born at 37 weeks.
G4T1P2A1L2
🟦 Overcounts preterm births and living children.
🟦 Stillbirth does not count as a living child.
G4T1P1A2L1
🟦 Overcounts abortions.
🟦 Only one pregnancy ended before 20 weeks.
G4T2P1A1L2
🟦 Incorrectly classifies the 36-week stillbirth as term.
🟦 Overcounts term births and living children.
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This question is from Exam 5 - Module 9 which contains 72 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: 🤱🏼Maternity & Newborn Care
- Answer Choices: 4