The nurse is preparing to assess a client visiting the women's health clinic. The client's obstetric history is documented as G₅T₁P₂A₁L₂. Which interpretation of this notation is correct?

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11ecbb05_cbed_74f0_b433_ad1aef8273c9_MD0009_00 The GTPAL system is a shorthand system of documenting a client's obstetric history. This client (G₅T₁P₂A₁L₂) has been pregnant 5 times (G₅); had 1 term birth (T₁), 2 preterm births (P₂), and 1 abortion (A₁); and has 2 currently living children (L₂). The client's term birth is indicated by the T₁ portion of the GTPAL notation (Option A). (Option B) The client had 2 preterm births, indicated by the P₂ portion of the GTPAL notation. (Option C) The client has 2 currently living children, as indicated by the L₂ portion of the GTPAL notation. If a child born full- or preterm is not living (due to stillbirth from 20 wk 0 d and beyond or infant/child death after birth), that birth and subsequent death is counted toward T or P (term or preterm) but is not notated under L (currently living children); T and P record total number of births without regard to current living status. This client has 2 currently living children (L₂), which is 1 less than the client's total notation for term + preterm (T₁ + P₂ = 3). Therefore, the client has experienced the death of 1 child who had been born at 20 wk 0 d gestation or beyond. (Option D) If a client is currently pregnant, the number of pregnancies (gravida) will be greater than the number of births (term, preterm, and abortions combined). This client is a G₅, and T₁ + P₂ + A₁ = 4. Therefore, the client is currently pregnant. Educational objective: The GTPAL system notational components are G - gravida (number of pregnancies, regardless of outcome and including current pregnancies), T - term (37 wk 0 d gestation and beyond), P - preterm (20 wk 0 d through 36 wk 6 d gestation), A - abortions (before 20 wk 0 d gestation; spontaneous or induced), and L - currently living children.

The Nurse Is Preparing to Assess a Client Visiting the Women's