What is the gravida and para status for a client who is pregnant with triplets and has one child born at 39 weeks?

• A. Gravida I, para I
• B. Gravida II, para I
• C. Gravida III, para II
• D. Gravida II, para II

Answer: (B)

In order to determine the correct gravida and para status, it's essential to understand the definitions of these terms. "Gravida" refers to the total number of times a woman has been pregnant, regardless of the outcome. "Para" refers to the number of pregnancies that have resulted in a viable birth, usually defined as reaching a minimum of 20 weeks gestation.

In this scenario, the client is currently pregnant with triplets, which counts as one additional pregnancy. Prior to this, she had one child born at 39 weeks; this counts as one viable birth. Therefore, her gravida status becomes two because she has been pregnant a total of two times (the previous pregnancy with the child and the current pregnancy with the triplets).

For the para status, we only count pregnancies that have resulted in a viable birth. The child born at 39 weeks qualifies, meaning she has one viable birth thus far. The current pregnancy does not add to the para status until the triplets are born. Therefore, her para status remains one.

Summarizing, the client is gravida II (two pregnancies) and para I (one viable birth), which correctly corresponds to the choice indicated.