GTPAL and Gravida Para need explanation?

demylenated, BSN, RN · Nov 28, 2011

G- Gravida= number of total pregnancies

T- Term= term deliveries

P- Preterm= preterm deliveries (before 37 weeks)

A- Abortions= abortions (both surgical abortions and miscarriages before 20 weeks)

L- Living= living children

TREC96 · Nov 28, 2011

the answer is C she has been pregnant a total of 3 times one abortion (spontaneous or elective) she delivered the twins at 36 weeks that is preterm then the baby boy at 38 weeks thats full term hope that explains it

studentnurse0221 · Nov 28, 2011

Thank you! It's now clear :)

iteachob, MSN, RN · Nov 28, 2011

Would you believe none of the given answers are correct? The correct GTPAL for scenario given is G3 T1 P1 A1 L3. Yes, I know that the twins are preterm, but they are not P2...they are P1. Preterm Para (the P in GTPAL) counts only the #of pregnancies that are delivered between week 20 and the end of week 37.....not the # of fetuses. The twins only count as one preterm delivery, not two.

foreverLaur · Nov 28, 2011

Gravida: any pregnancy (including current), regardless of duration

Term: number of term infants born (37 weeks or beyond)

Preterm: number of preterm infants born (after 20 weeks but before 37 weeks)

Abortion: number of pregnancies ending in either spontaneous or elective abortion

Living: number of currently living children to whom the woman has given birth

Thus, gravida and abortions refer to # of pregnancies and term/preterm/living refers to the actual number of infants.

The answer is

G: 3

T: 1

P: 2

A: 1

L: 3

Which is C! :)

This is per Old's Maternal-Newborn Nursing & Women's Health Across the Lifespan 8th edition by Davidson, London, Ladewig on pg 338.

iteachob - where did you get your information? It contradicts what I was taught in school, what is in my textbook, and what all area hospitals are using.

VICEDRN, BSN, RN · Nov 29, 2011

Bet your textbook could have helped you...

EveRose · Nov 29, 2011

foreverLaur said:
Gravida: any pregnancy (including current), regardless of duration
Term: number of term infants born (37 weeks or beyond)
Preterm: number of preterm infants born (after 20 weeks but before 37 weeks)
Abortion: number of pregnancies ending in either spontaneous or elective abortion
Living: number of currently living children to whom the woman has given birth
Thus, gravida and abortions refer to # of pregnancies and term/preterm/living refers to the actual number of infants.
The answer is
G: 3
T: 1
P: 2
A: 1
L: 3
Which is C! ?
This is per Old's Maternal-Newborn Nursing & Women's Health Across the Lifespan 8th edition by Davidson, London, Ladewig on pg 338.
iteachob - where did you get your information? It contradicts what I was taught in school, what is in my textbook, and what all area hospitals are using.

I'm currently taking Maternal Child and our text teaches it the same as iteachbob. Maternal-Child Nursing 3rd edition by McKinney, James, Murray, Ashwell pg 262

G: 3 T: 1 P: 1 A: 1 L: 3

P is one - the number of fetuses in pregnancy doesn't change the para

I live in Iowa and this is what the hospitals use here.

demylenated, BSN, RN · Nov 29, 2011

iteachob said:
Would you believe none of the given answers are correct? The correct GTPAL for scenario given is G3 T1 P1 A1 L3. Yes, I know that the twins are preterm, but they are not P2...they are P1. Preterm Para (the P in GTPAL) counts only the #of pregnancies that are delivered between week 20 and the end of week 37.....not the # of fetuses. The twins only count as one preterm delivery, not two.

Saunders NCLEX books, and NCLEX resources teach it the way Iteachob says... so, if you haven't taken your NCLEX yet - keep that in mind.

klone, MSN, RN · Nov 29, 2011

iteachob said:
Would you believe none of the given answers are correct? The correct GTPAL for scenario given is G3 T1 P1 A1 L3. Yes, I know that the twins are preterm, but they are not P2...they are P1. Preterm Para (the P in GTPAL) counts only the #of pregnancies that are delivered between week 20 and the end of week 37.....not the # of fetuses. The twins only count as one preterm delivery, not two.

That was exactly my thought as well. Multiples still count as one P.

Williams' Obstetrics teaches it this way, too. We had a big debate about this one quiet night on the floor.

iteachob, MSN, RN · Nov 29, 2011

foreverLaur said:
Gravida: any pregnancy (including current), regardless of duration
Term: number of term infants born (37 weeks or beyond)
Preterm: number of preterm infants born (after 20 weeks but before 37 weeks)
Abortion: number of pregnancies ending in either spontaneous or elective abortion
Living: number of currently living children to whom the woman has given birth
Thus, gravida and abortions refer to # of pregnancies and term/preterm/living refers to the actual number of infants.
The answer is
G: 3
T: 1
P: 2
A: 1
L: 3
Which is C! ?
This is per Old's Maternal-Newborn Nursing & Women's Health Across the Lifespan 8th edition by Davidson, London, Ladewig on pg 338.
iteachob - where did you get your information? It contradicts what I was taught in school, what is in my textbook, and what all area hospitals are using.

My info is from NUMEROUS sources (and years of experience). By the way, my username....iteachob.......means I teach OB. I've taught it for over 10 years. Trust me. I know what I'm talking about. I am also a Kaplan NCLEX instructor.

A, B, C, and D are all incorrect.

foreverLaur · Nov 29, 2011

EveRose said:
I'm currently taking Maternal Child and our text teaches it the same as iteachbob. Maternal-Child Nursing 3rd edition by McKinney, James, Murray, Ashwell pg 262
G: 3 T: 1 P: 1 A: 1 L: 3
P is one - the number of fetuses in pregnancy doesn't change the para
I live in Iowa and this is what the hospitals use here.

I was not including para in my answer. I was including gravida, term, preterm, abortion, and living. You are correct that para is number of births and does not take into account the number of children. That's why para is broken down into term, preterm, abortion, and living.