A pregnant woman is the mother of two children. Her first pregnancy ended in a stillbirth at 32 weeks of gestation, her second pregnancy with the birth of her daughter at 36 weeks, and her third pregnancy with the birth of her son at 41 weeks
Using the five-digit system to describe this woman's current obstetric history, what should the nurse record?
a. 4-1-2-0-2
b. 3-1-2-0-2
c. 4-2-1-0-1
d. 3-1-1-1-3
ANS: A
Gravida (the first number) is 4 because this woman is now pregnant and was pregnant three times before. Para (the next four numbers) represents the outcomes of the pregnancies and would be described as follows:
• T: 1 = term birth at 41 weeks of gestation (son)
• P: 2 = preterm birth at 32 weeks of gestation (stillbirth) and 36 weeks of gestation (daughter)
• A: 0 = abortion; none
• L: 2 = living children, her son and her daughter
She is currently pregnant so she is a gravida 4. She had one term infant, two preterm infants, no abortion, and three living children.
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