A woman's obstetric history indicates that she is pregnant for the fourth time and all her children from prior pregnancies are living. One was born at 39 weeks of gestation, twins at 34 weeks of gestation, and another at 35 weeks of gestation

What is her gravidity and parity using the GTPAL system? 1. 3-1-1-1-3
2. 4-1-2-0-4
3. 3-0-3-0-3
4. 4-2-1-0-3


2
1, 3, 4. Incorrect. The numbers reflect the woman's gravidity and parity information. Using the GTPAL system, her information is calculated as:
G—this reflects the total number of times the woman has been pregnant; she is pregnant for the fourth time
T—this number indicates the number of pregnancies carried to term, not the number of delive-ries at term; she has had only one pregnancy result in a fetus at term
P—this is the number of pregnancies that resulted in a preterm birth; she has had two pregnan-cies in which she delivered preterm
A—this letter signifies if the woman has had any abortions or miscarriages prior to the period of viability; she did not
L—this signifies the number of children born that are currently living; she has four children
2. Correct. This is the correct calculation of this woman's gravidity and parity.

Nursing

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