A client who is 4 months pregnant is at the prenatal clinic for her initial visit. Her history reveals she has 7-year-old twins who were born at 34 weeks gestation, a 2-year old son born at 39 weeks gestation, and a spontaneous abortion 1 year ago at 6 weeks gestation. Using the GTPAL method, the nurse would document her obstetric history as:

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The GTPAL system is used to summarize a woman's obstetric history. It stands for Gravida (total number of pregnancies), Term births (deliveries after 37 weeks), Preterm births (deliveries between 20 and 37 weeks), Abortions (spontaneous or induced before 20 weeks), and Living children. For this client: Gravida = 4 (current pregnancy + twins + 1 son + 1 abortion), Term = 1 (the son born at 39 weeks), Preterm = 1 (the twins born at 34 weeks), Abortions = 1 (spontaneous abortion at 6 weeks), Living = 3 (twins + son).

A Client Who Is 4 Months Pregnant Is at the Prenatal