When documenting the GTPAL of a pregnant woman with a healthy 5-year-old child and no history of abortions or fetal demise, how should the documentation read?

• A. G = 2, T = 1, P = 1, A = 0, L = 1
• B. G = 2, T = 1, P = 0, A = 0, L = 1
• C. G = 2, T = 0, P = 1, A = 0, L = 1
• D. G = 1, T = 1, P = 0, A = 0, L = 1

Answer: (B)

The GTPAL system is a way to document a woman's obstetric history. It stands for Gravida (G), Term births (T), Preterm births (P), Abortions (A), and Living children (L).

In this scenario, the woman has one healthy child who is 5 years old and no history of abortions or fetal demise. The G indicates the total number of pregnancies. Since the woman has one living child, this would mean that her Gravida would be two, signifying that she has been pregnant twice (once resulting in a living child and possibly the current pregnancy).

The T represents term births. A term birth is a live birth that occurs at 37 weeks of gestation or later. Since the child is described as healthy and 5 years old, that birth counts as a term birth. Thus, T would be recorded as one.

The P represents preterm births, which are live births that occur between 20 and 36 weeks of gestation. Since there is no indication that the woman has had any preterm births, P would be recorded as zero.

A stands for abortions, which includes any pregnancy loss before 20 weeks. Given that the woman has no history of abortion or fetal demise