Using the 5-digit system, determine the obstetric history in this situation: The client is 38 weeks into her fourth pregnancy. Her third pregnancy, a twin gestation, ended at 32 weeks with a live birth, her second pregnancy ended at 38 weeks with a live birth, and her first pregnancy ended at 18 weeks.
A. G4, T2, P1, A1, L2
B. G4, T1, P2, A1, L1
C. G4, T1, P1, A1, L3
D. G4, T2, P1, A1, L1
A pregnant client has two children at home, the first born at 38 weeks' gestation and the second born at 34 weeks' gestation. She has also had one miscarriage, at 18 weeks, and an elective abortion. Which is the correct summary of her obstetric history using the GTPAL system?
A. G5, T1, P1, A2, L2
B. G4, T2, P2, A1, L4
C. G2, T3, P3, A2, L1
D. G3, T2, P1, A3, L3
ANS: B
Growth of the fetus, body changes, and nutritional guidance
Rationale:
Awareness of the fetus as an individual and the expected changes of pregnancy lead the client to seek information regarding fetal growth, body changes, and nutrition.
A & D- Information on infant care, travel to the hospital, signs of labor, signs of preeclampsia, and relaxation breathing techniques are appropriate in the last trimester.
C- Interventions for nausea and vomiting, urinary frequency, and anticipated care are appropriate for the first trimester.