Nursing 2 Exam 1 — GTPAL Obstetric History — 2026 — Detailed Practice Exam Questions with Verified Answers

This Nursing 2 Exam 1 practice exam focuses specifically on calculating and interpreting GTPAL obstetric histories, including gravidity, term births, preterm births, abortions or miscarriages, and living children. The document contains a wide range of pregnancy-history scenarios involving singleton pregnancies, twins, triplets, current pregnancies, miscarriages at different gestational ages, preterm deliveries, term deliveries, neonatal deaths, and the number of currently living children. The practice questions require students to distinguish between pregnancies and individual children, correctly classify deliveries according to gestational age, and determine the appropriate GTPAL sequence. Special emphasis is placed on multiple gestations, where twins or triplets count as one pregnancy and one birth in the appropriate parity category but contribute individually to the living-children count. The examples also test recognition of miscarriages occurring before 20 weeks, preterm births occurring before 37 weeks, term births at 37 weeks or later, and how a current pregnancy affects gravidity and parity calculations. The document includes progressively varied clinical scenarios such as first pregnancies, women with previous term and preterm births, histories involving multiple miscarriages, twins and triplets, neonatal deaths after delivery, and combinations of current pregnancy with previous obstetric outcomes. Answers are provided in GTPAL format, making the material useful for Nursing 2 Exam 1 preparation, maternity nursing review, obstetric-history assessment, and practice with pregnancy and parity calculations.