How would you document the GTPAL for a pregnant client with a healthy child, no abortions, and currently expecting twins?

To accurately document the GTPAL for a pregnant client, a clear understanding of what each letter stands for is essential. GTPAL stands for Gravida (total number of pregnancies), Term births (number of term deliveries), Preterm births (number of preterm deliveries), Abortions (number of pregnancies that ended before 20 weeks), and Living children (number of currently living children).

In this scenario, the client has had one healthy child, which contributes to the Gravida count. The Gravida is 2 because the client is currently pregnant (the twins) in addition to the prior birth. The Term count reflects the number of pregnancies that resulted in a delivery at term (after 37 weeks), but since the current pregnancy is twins, the Term count remains at 1 since the previous child was born at term. The Preterm is 0 since there have been no preterm deliveries. Abortions are also 0 because there have been no pregnancies lost before 20 weeks. The Living count is 1 for the healthy child and 1 for the twins now expected, totaling 1 living child, even though twins generally would increase this count to 2 upon birth.

Thus, the proper documentation reads as follows: Gravida is