Difficulty: Medium
Average Score: 89%
Simulated
Passage / Scenario
A pregnant woman who has delivered premature twins, one full-term baby, and has had no abortionsA pregnant woman comes to the prenatal clinic for an initial visit. In reviewing her childbearing history, the client indicated that she has delivered premature twins, one full-term baby, and has no abortions. Which GTPAL should the nurse document in this client's record?
Correct answer
D
Rationale
GTPAL stands for Gravida, Term, Preterm, Abortions, Living. The woman has 3 pregnancies (twins count as one pregnancy): premature twins (1 preterm pregnancy, 2 preterm births), one full-term baby (1 term pregnancy, 1 term birth), and no abortions. She has 3 living children (2 twins + 1 full-term). Thus, GTPAL is 3-1-2-0-3.