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A woman’s obstetric history indicates that she is pregnant for the fourth time and all of her children from previous pregnancies are living.

One was born at 39 weeks of gestation, twins were born at 34 weeks of gestation, and another child was born at 35 weeks of gestation.

What is her gravidity and parity using the GTPAL System?

A.

G4 T1 P2 A0 L3

B.

G4 T2 P1 A0 L3

C.

G4 T3 P1 A0 L3

D.

G4 T2 P1 A0 L4

Answer and Explanation

The Correct Answer is A

Choice A rationale

The GTPAL system is used to evaluate a woman’s complete obstetric history. In this system: G stands for Gravida, which refers to the number of times a woman has been pregnant, including any current pregnancy. T stands for Term births, referring to the number of times an

individual has carried a pregnancy to at least 37 weeks of gestation and delivered. P stands for Preterm deliveries, which includes babies born between 20 and 36 weeks 6/7 days of gestation. A stands for the number of abortions, referring to all times the individual has lost a pregnancy before 20 weeks. L stands for the number of Living children. In this case, the woman is pregnant for the fourth time (G4). She has had one full-term pregnancy (T1), two preterm pregnancies (P2), no abortions (A0), and all her children from previous pregnancies are living (L3). Therefore, her gravidity and parity using the GTPAL system is G4 T1 P2 A0 L3.


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Related Questions

Correct Answer is ["D"]

Explanation

A blood pressure of 179/99 mm Hg in a pregnant client is a cause for concern and should be reported to the provider. This could be a sign of preeclampsia, a serious condition that can occur during pregnancy characterized by high blood pressure and damage to other organ systems, most often the liver and kidneys. The other vital signs (temperature, pulse rate, and respiratory rate) are within normal ranges for a pregnant woman.

Correct Answer is B

Explanation

Choice A rationale
Preparing the abdominal and perineal areas is not the priority nursing action for a client who has a large amount of painless, bright red vaginal bleeding at 38 weeks of gestation. This type of bleeding is suggestive of placenta previa, a condition where the placenta covers part or all of the cervix, preventing normal delivery. While preparing the abdominal and perineal areas may be necessary in preparation for delivery, it is not the immediate priority.
Choice B rationale
Initiating IV access is the priority nursing action for a client who has a large amount of painless, bright red vaginal bleeding at 38 weeks of gestation. This type of bleeding is suggestive of placenta previa, a condition where the placenta covers part or all of the cervix, preventing normal delivery. IV access allows for rapid administration of fluids and medications, which may be necessary to stabilize the client’s condition.
Choice C rationale
Inserting an indwelling urinary catheter is not the priority nursing action for a client who has a large amount of painless, bright red vaginal bleeding at 38 weeks of gestation. While a urinary catheter may be necessary in preparation for delivery or surgery, it is not the immediate priority.
Choice D rationale
Witnessing the signature for informed consent for surgery is not the priority nursing action for a client who has a large amount of painless, bright red vaginal bleeding at 38 weeks of gestation. While obtaining informed consent may be necessary before performing certain procedures or surgeries, it is not the immediate priority.

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