Question

A woman tells the nurse that this is her third pregnancy. She has had twin girls at full term and one miscarriage. The nurse records this information as:

a. G2, T2, L3.
b. G4, T3, A1, L1.
c. G3, T3, A2, L1.
d. G3, T1, A1, L2.

Answer 1

The correct way to record the woman's obstetrical history using the GTPAL system is G3, T1, A1, L2, indicating her third pregnancy with one full-term delivery of twins, one miscarriage, and two living children.

Step-by-step explanation:

To properly record the woman's obstetrical history, we use the GTPAL system. GTPAL stands for Gravidity (G), Term births (T), Preterm births (P), Abortions (A), and Living children (L). Given the woman's statement:

• Gravidity (G): This is the total number of times the woman has been pregnant, including her current pregnancy, regardless of the outcome. Since she mentioned three pregnancies (one set of twins, one single birth at term, and one miscarriage), her gravidity would be G3.
• Term births (T): This refers to births that reached full term (37 weeks or more). The woman had twins at full term, which counts as one term pregnancy, so T1.
• Abortions (A): This includes both miscarriages and elective abortions before 20 weeks. The woman had one miscarriage, thus A1.
• Living children (L): The woman has two living children, the twins, so L2.

With this information, the appropriate recording of the woman's obstetrical history would be G3, T1, A1, L2.