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A woman arrives in the clinic for her prenatal visit. She states that she is currently 28 weeks pregnant with twins, she has a 5-year old son who was delivered at 39 weeks gestation and a 3-year old daughter delivered at 34 weeks gestation, and her last pregnancy terminated at 16 weeks gestation. The nurse will interpret her obstetric history as:

1. G4 T2 P2 A1 L4
2. G3 T2 P0 A1 L2
3. G3 T1 P1 A1 L2
4. G4 T1 P1 A1 L2

1 Answer

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Final Answer:

The woman's gravidity (G) is 4, indicating this is her fourth pregnancy. The term (T) is 2, representing the number of term pregnancies (deliveries after 37 weeks). The para (P) is 2, denoting the number of full-term deliveries. The abortion (A) is 1, indicating one pregnancy termination. The living (L) is 4, representing the number of living children. So, the correct option is 1. G4 T2 P2 A1 L4.

Step-by-step explanation:

The correct option is 1. G4 T2 P2 A1 L4. The woman's obstetric history is denoted by the GTPAL system, with the final interpretation being G4 T2 P2 A1 L4. This system provides a succinct summary of her reproductive experiences. The 'G' represents gravidity, signifying the total number of pregnancies, which is 4 in this case. 'T' stands for term pregnancies, pregnancies delivered after 37 weeks, of which she has had 2.

The 'P' indicates parity, with a value of 2, representing the number of full-term deliveries. The 'A' denotes abortions, and in her case, there has been 1 pregnancy termination. Lastly, 'L' signifies living children, and she has 4. Analyzing this, we can deduce that she has experienced four pregnancies, delivered two children at term, had one abortion or pregnancy termination, and currently has four living children.

This comprehensive overview aids healthcare providers in understanding her reproductive history efficiently, allowing for better antenatal care. It assists in identifying potential risks associated with previous pregnancies, tailoring interventions, and providing targeted support, ultimately contributing to optimal maternal and fetal outcomes.

User Sreekanth Pothanis
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