A woman has had two pregnancies. The first pregnancy produced a healthy baby girl. The second pregnancy produced a set of twins, a boy and a girl. How would the nurse document this history?
a. GII, PI, PII
b. GII, PII
c. GII, PIII
d. GIII, PIII
ANS: B
Obstetrical history is documented using abbreviations of Latin words: G is the number of pregnancies (from the Latin word gravida); P is births, whether alive or stillborn (regardless of number of fetuses) after 20 weeks gestation (from the Latin word para); A stands for abortions, whether spontaneous or therapeutic (from the Latin word abortus; a spontaneous abortion is sometimes called a miscarriage). Roman numerals follow the letter to specify the number of each. For example, three pregnancies—twins, one single birth, and one spontaneous abortion—are recorded as GIII, PII, AI. This may also be written as G3P2A1.
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