Your pregnant client is making her first prenatal visit. She has 4 healthy children; a 8 year old son who was born at 38 weeks, 3 year old twin daughters who were born at 27 weeks, and a 1 year old son born at 35 weeks. She has had 3 pregnancy losses, one at 11 weeks, one at 22 weeks, & a twin pregnancy at 15 weeks. What is her GTPAL? I think the answer is 18 but im not sure! Thanks!