While a client is being interviewed on her first prenatal visit she states that she has a 4-year-old son who was born at 41 weeks' gestation and a 3-year-old daughter who was born at 35 weeks' gestation and lost one pregnancy at 9 weeks and another at 18 weeks. Using the GTPAL system, how would you record this information?1. G5 T1 P1 A2 L22. G4 T1 P1 A2 L23. G4 T2 P0 A0 L24. G5 T2 P1 A1 L2

1. G5 T1 P1 A2 L2

Explanation:

The patient is gravida (G) 5: present pregnancy, pregnancy of 41 weeks, pregnancy of 35 weeks, pregnancy of 9 weeks and pregnancy of 18 weeks.

She has had one pregnancy term (T) (one lasting 40 weeks plus or minus 2 years): the 41-week pregnancy. Pregnancy lasting 35 weeks is considered premature (P).

Pregnancies ending before 20 weeks are deemed abortions so the losses will be rated as A2 at 9 and 18 weeks.

Those other choices do not consider the current pregnancy or appropriate term and preterm meanings, or don't include the abortions.

The correct answer is option A

G5 T1 P1 A2 L2

Explanation: The client is G5 T1 P1 A2 L2 because;

Her current pregnancy,

The pregnancy of 41-weeks,

The pregnancy of 35-weeks,

The pregnancy of 9-weeks,

And the pregnancy of 18-weeks. Equals 5 pregnancies making it Gravida (G) 5

She has carried one baby to term (pregnancy that lasts 40-weeks plus or minus 2-weeks): the 41-weeks pregnancy making it (T) 1

The 35-weeks pregnancy is considered as preterm (p) 1

Pregnancies that end before 20-weeks gestational age are considered as abortion so the losses she had at 9-weeks and 18-weeks will be considered as abortion (A2).