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Difficulty: EasyAnte/Intra/Postpartum and Newborn Care

A client presents to the obstetric clinic for an initial prenatal visit. Her obstetrical history includes a previous miscarriage at 88 weeks gestation, a live birth of a daughter at 3838 weeks gestation, and a live birth of a son at 3535 weeks gestation. She is currently pregnant. What is the client's gravidity (G) score?

Answer: 4

Answer

The client's total gravidity score is 4.
Gravidity (G) represents the total number of confirmed pregnancies a woman has had, regardless of the duration or outcome. This client has had a miscarriage, a term birth, a preterm birth, and is currently pregnant. Therefore, she has been pregnant a total of 44 times.

Step-by-Step Solution

1
Define gravidity in the GTPAL system.
Gravidity refers to the total number of pregnancies.
Establishing the correct definition prevents incorrectly categorizing pregnancies by their outcomes (like live births).
2
Count all previous pregnancies from the obstetrical history.
There are 33 previous pregnancies (miscarriage, term daughter, preterm son).
Every past conception must be counted exactly once.
3
Include the current pregnancy.
Total gravidity is 3+1=43 + 1 = 4.
The G score must reflect all pregnancies, including the one that brings the client to the clinic today.

Key Concept

Gravidity in Obstetrical History (GTPAL)
Estimated Time:45s
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Topics

Ante/Intra/Postpartum and Newborn Care

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