University:
West Coast University
Course:
NURS 664 | Primary Care Women's Health: Theory, Pharmacology and Practice
Academic year:

2023
Views:

440

Pages:

5
Author:

Lance Gutierrez

Gravida, Para, GTPAL Practice Gravida = # of pregnancies Special consideration: This calculation includes the current pregnancy. Special consideration: This does not count the # of fetuses. If Ms. Smith has twins during her first pregnancy, she would still be Gravida = 1. Parity = # of pregnancies in which fetus or fetuses have reached viability (20 weeks) and been born Special consideration: Parity includes babies that are born alive and born stillborn. Special consideration: This does not count the # of fetuses. If Ms. Smith had twins during her first pregnancy, had a stillborn during her second pregnancy, and had a miscarriage at 14 weeks, her Parity = 2. Practice Questions: 1. Ms. Jones has two children, a son that is 5 and daughter that is 12. She had a miscarriage twice, one at 14 weeks and another at 18 weeks. She is currently pregnant. G= P= 2. You are looking over Ms. Smith’s chart before her appointment. Her OB history is below. What does it mean? G=4 P=1 Answer Key: 1. Calculating Gravida: Ms. Jones has two children, a son that is 5 and daughter that is 12. She had a miscarriage twice, one at 14 weeks and another at 18 weeks. She is currently pregnant. G = 5 pregnancies including current one Calculating Parity: Ms. Jones has two children, a son that is 5 and daughter that is 12. She had a miscarriage twice, one at 14 weeks and another at 18 weeks. She is currently pregnant. P = 2 pregnancies terminating after 20 weeks 2. Ms. Smith has had 4 pregnancies but only 1 pregnancy terminated after 20 weeks. GTPAL G = # of pregnancies including current one T = # of pregnancies terminating after 36 weeks P = # of pregnancies terminating from 20-36 weeks A = # of pregnancies terminating before 20 weeks L = # of living children at the moment Practice Questions: 1. Ms. Jones is currently pregnant. Her first child was born at 38 weeks. Her second child was born at 35 weeks. Her third child was born at 37 weeks, but this child died a few weeks after birth. She has lost two pregnancies, one at 15 weeks and another at 16 weeks. G= T= P= A= L= 2. Ms. Smith is currently pregnant. Her first two children were born at 35 weeks. Her next two children were twins born at 34 weeks. G= T= P= A= L= 3. You are looking at Ms. Smith’s chart before her appointment. Her OB history is below. What does it mean? G=8 T=4 P=2 A=2 L=4 Answer Key: 1. Ms. Jones is currently pregnant. Her first child was born at 38 weeks (T). Her second child was born at 35 weeks (P). Her third child was born at 37 weeks (T), but this child died a few weeks after birth. She has lost two pregnancies, one at 15 weeks (A) and another at 16 weeks (A). G=6 T=2 P=1 A=2 L=2 2. Ms. Smith is currently pregnant. Her first two children were born at 35 weeks (P, P). Her next two children were twins born at 34 weeks (P). G=4 T=0 P=3 A=0 L=4 3. You are looking at Ms. Smith’s chart before her appointment. Her OB history is below. What does it mean? G=8 T=4 P=2 A=2 L=4 Ms. Smith has had 8 pregnancies. 4 of the pregnancies were to term and 2 of the pregnancies were preterm. 2 of the pregnancies were terminated before 20 weeks. She has 4 living children.