Question

The client gave birth to twin babies at 32 weeks, had a spontaneous abortion at 14 weeks, and delivered a 7 pound 8-ounce baby at 42 weeks. How would the LPN express this gravidity and parity information using the five-digit system?

a) G3 P2 T1 A0 L1
b) G4 P2 T1 A1 L2
c) G5 P3 T1 A0 L1
d) G6 P3 T1 A1 L2

Answer 1

The correct gravidity and parity information for the client using the five-digit GTPAL system is G4 P1 T1 A1 L3, which accounts for all of her pregnancies and their outcomes, including the number of living children. There seems to be a discrepancy in the provided answer options.

Step-by-step explanation:

The gravidity and parity using the five-digit system (GTPAL) for the client would be G4 P2 T1 A1 L2. Here's how it's calculated:

• Gravidity (G): Total number of pregnancies, which is 4 in this case (twins pregnancy counts as one, spontaneous abortion, and full-term pregnancy).
• Term births (T): Deliveries after 37 weeks of gestation, which is 1 here (the baby born at 42 weeks).
• Preterm births (P): Deliveries between 20 and 37 weeks of gestation, this client has had twins at 32 weeks. The twins count as 1 preterm birth.
• Abortions (A): Pregnancies ending before 20 weeks, which is 1 (the spontaneous abortion at 14 weeks).
• Living children (L): Number of living children, which is 3 here (twins and the baby born at 42 weeks).

The correct notation is therefore G4 P1 T1 A1 L3, so the correct answer could not be found in the options provided, indicating there might have been a typo or error in the question's choices.