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Zorluk: ZorAnte/Intra/Postpartum and Newborn Care

A nurse is collecting an obstetrical history from a client admitted to the labor and birth unit. The client reports the following history:

- Currently pregnant with twins.
- Delivered a viable male infant at 3939 weeks of gestation, who is now 55 years old and healthy.
- Delivered viable female twins at 3434 weeks of gestation, both of whom are now 33 years old and healthy.
- Experienced a spontaneous abortion at 1010 weeks of gestation.
- Delivered a stillborn fetus at 2222 weeks of gestation.

Using the GTPAL system, calculate the number that represents the client's "Preterm" (P) deliveries. Record your answer as a whole number.

Cevap: 2

Cevap

2
The client's 'Preterm' (P) score is 22. This includes the delivery of the twins at 3434 weeks (which counts as one delivery event) and the delivery of the stillborn fetus at 2222 weeks (which counts as a delivery because it reached 2020 weeks of gestation). The current pregnancy is not a delivery, the 3939-week delivery is term (T), and the 1010-week loss is an abortion (A).

Adım Adım Çözüm

1
Define the criteria for a preterm delivery.
A preterm delivery is defined as birth occurring between 2020 weeks 00 days and 3636 weeks 66 days of gestation.
Establishing the correct gestational age parameters is required before evaluating the client's obstetrical history.
2
Evaluate the twin delivery at 3434 weeks of gestation.
This counts as 11 preterm delivery.
In the GTPAL system, multiple gestations (such as twins or triplets) count as a single pregnancy and a single delivery event.
3
Evaluate the stillborn delivery at 2222 weeks of gestation.
This counts as 11 preterm delivery.
The delivery occurred after 2020 weeks of gestation, so it meets the criteria for preterm regardless of the fetal outcome.
4
Calculate the total preterm (P) count.
The total is 1+1=21 + 1 = 2.
Summing the identified preterm deliveries yields the final score.

Anahtar Kavram

In the GTPAL system, 'Preterm' (P) refers to the number of pregnancies that ended between 20 and 36 weeks 6 days of gestation, with multiple gestations counting as a single delivery and fetal survival not affecting the classification.
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Ante/Intra/Postpartum and Newborn Care

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