A 24 year old pregnant client presents for her initial antepartum visit. She has a 1-year-old son born at 39 weeks and a 4-year-old son born at 37 weeks.<br/><br/>The client had a spontaneous abortion 7 years ago at 8 weeks.<br/><br/>By using the GTPAL format, the nurse can determine the client's pregnancy history as:
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✓ Correct answer: D. G4 T2 A1 L2GTPAL is used to show information about a female's pregnancy history. The approach is expressed in acronyms such as G-gravida which is associated with the total number of pregnancies; P-preterm, which is associated with all the children that were born early, before 37 weeks of gestation but after 20 weeks; A identifies the number of abortions and L indicates the number of children who are presently living.<br/><br/>Now, for our example of the 24 year old female client, the nurse would express the client's pregnancy history as G4 T2 A1 L2 which identifies the following: The total number of pregnancies are 4 (G4). The total number of termed births where the baby was born after 37 weeks of gestatation are 2 (T2). The client had 1 abortion (A1). The client has a total of 2 children living (L2).
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