Question

Assessments: 1. A patient arrives in triage claiming she is in labor. She tells you that this is her 7th pregnancy, with previous deliveries at 37, 28, 40, 39 and 38 weeks respectively, as well as a loss at 14 weeks. She reports that one of her children died of SIDS at 4 months of age. What is her G/P? GTPAL?

2. You are caring for a woman in the postpartum unit. She just delivered twins at 35 weeks. She has also previously delivered two other children. One child was born at 38 weeks and the other was stillborn at 30 weeks. What is her G/P? What is her GTPAL?

3. A woman comes in to the office and is currently pregnant. She previously lost a child at 12 weeks. What is her G/P? What is her GTPAL?

4. In postpartum, you are assigned to care for a woman who delivered a healthy baby girl at 40 weeks. What is her G/P? What is her GTPAL?

5. A woman comes in to the office and you are taking her pregnancy history. She states she is pregnant now. She has delivered one child at 38 weeks, one at 40 weeks, one at 16 weeks, and one at 32 weeks. What is her G/P? What is her GTPAL?

6. A woman comes in to the office and you are taking her pregnancy history. She states she is pregnant now. She previously delivered twins via primary c/s at 37 weeks. What is her G/P? What is her GTPAL?

Naegele’s Rule Calculations:

• Approximate Calculation of Due Date: Once you are sure you are pregnant, the question you need to ask is, “when am I due?” There are various ways to estimate a due date, but these are never absolute.

• Naegele’s Rule: For a woman with regular 28 day cycles, the expected due date (EDD or EDC) can be calculated by adding 9 calendar months and 7 days to the first day of her last menstrual period (LMP)

• Or, subtract three months and add 7 days from the LMP.

• Example 1: LMP: 10/31/2015 EDD: 8/7/16

• Example 2: o LMP: 12/25/2015 o EDD: 10/2/16

Now you try: 1. LMP: 4/12/16 EDD:

2. LMP: 11/22/2015 EDD:

3. LMP: 12/28/2015 EDD:

4. LMP: 1/5/2016 EDD:

Answer 1

GTPAL stands for

G = Gravidity or number of pregnancy

T=Term Birth (from 37 weeks)

P=Preterm birth(before 37 weels)

A= Abortion

L=Live

1)G7T4P1A1L5

Total pregnancy is 7 (G)

Term delivery is 4 at 37,40,39,38 weeks(T)

Preterm is 1 at 28 weeks (P)

Abortion is 1 at 14 weeks (A)

Live is 5 ( the number of children who are live )

2)G21P3A1L3

Number of pregnancy =2

Term deliver is 1 at 38 weeks

Preterm birth is 3 (two twins delivered at 35 weeks and 1 at 30 weeks)

Abortion is 1 at 30 weeks

Live is 3 chidren

Or

G/P is G2P3 ( P refers the number of deliveries after 20 weeks)

3)G2T0P0A1L0

Gravida=2

Term =nil

Preterm=nil

Abortion =1 at 12 weeks

Live=nil

G/P=G2P0

4)G1T1P0A0L1

Gravida =1

Term =1

Preterm=0

Abortion =0

Live=1

G/P=G1P1