Mrs.Long is pregnant for the fourth time.The first pregnancy was carried to term but ended in the birth of a stillborn.Mrs.Long lost the second pregnancy at 3 months' gestation.The third pregnancy resulted in the birth of twin girls.How would you record this information in the patient's chart?

Question

Quizplus · Accepted Answer

The correct way to record Mrs. Long's pregnancy history is using the GTPAL system: G (Gravida) indicates the total number of pregnancies, including the current one, which is 4. T (Term births) counts the number of term pregnancies; since the stillborn was a term pregnancy, this is counted as 1. P (Preterm births) counts births before 37 weeks, which is 0 in this case. A (Abortions) counts the number of miscarriages or elective abortions before viability (20 weeks), which is 1. L (Living children) counts the number of living children, which is 2 (the twin girls). Therefore, the correct recording is G 4,T 1,P 0,A 1,L 2.

MrsLong Is Pregnant for the Fourth Time