Pregnancy Module 1 – Final Integrated
Study Guide (Comprehensive Notes)
This study guide integrates all content from your Chapter 10–12 study guide, lecture
transcript, and lecture slides into one cohesive reference. It omits practice quizzes, exam
cram summaries, and visual aids, focusing purely on detailed, explanatory notes to support
comprehension and retention.
Preconception & Prenatal Care
Preconception care focuses on optimizing health before pregnancy by addressing risks,
encouraging folic acid intake, reviewing medications, and promoting healthy lifestyles.
Prenatal care should begin as early as possible to reduce risks of complications and improve
outcomes.
Initial Prenatal Visit
The first prenatal visit establishes a baseline for maternal and fetal health. It includes
medical and psychosocial history, physical examination, and laboratory tests:
• Complete blood count (to assess anemia and overall blood health)
• Blood type and Rh factor with antibody screening
• Rubella and varicella immunity testing
• Screening for infections such as syphilis, hepatitis B, HIV, gonorrhea, and chlamydia
• Urinalysis and urine culture
• Pap smear if indicated
Gravidity & Parity (GTPAL)
Gravidity refers to the total number of pregnancies, regardless of outcome. Parity refers to
the number of pregnancies that reach 20 weeks or more. The GTPAL system provides more
detail:
• Gravida – Total number of pregnancies
• Term – Number of term pregnancies (≥37 weeks)
• Preterm – Number of preterm pregnancies (20–36 weeks)
• Abortions – Number of losses before 20 weeks
• Living – Number of living children
Example: A woman currently pregnant with twins, with one prior term birth and one
miscarriage at 10 weeks, is G3 T1 P0 A1 L1.
This study source was downloaded by 100000898062787 from CourseHero.com on 09-30-2025 02:14:10 GMT -05:00
https://www.coursehero.com/file/251447961/Pregnancy-Module-1-Final-Integrated-Notesdocx/
Study Guide (Comprehensive Notes)
This study guide integrates all content from your Chapter 10–12 study guide, lecture
transcript, and lecture slides into one cohesive reference. It omits practice quizzes, exam
cram summaries, and visual aids, focusing purely on detailed, explanatory notes to support
comprehension and retention.
Preconception & Prenatal Care
Preconception care focuses on optimizing health before pregnancy by addressing risks,
encouraging folic acid intake, reviewing medications, and promoting healthy lifestyles.
Prenatal care should begin as early as possible to reduce risks of complications and improve
outcomes.
Initial Prenatal Visit
The first prenatal visit establishes a baseline for maternal and fetal health. It includes
medical and psychosocial history, physical examination, and laboratory tests:
• Complete blood count (to assess anemia and overall blood health)
• Blood type and Rh factor with antibody screening
• Rubella and varicella immunity testing
• Screening for infections such as syphilis, hepatitis B, HIV, gonorrhea, and chlamydia
• Urinalysis and urine culture
• Pap smear if indicated
Gravidity & Parity (GTPAL)
Gravidity refers to the total number of pregnancies, regardless of outcome. Parity refers to
the number of pregnancies that reach 20 weeks or more. The GTPAL system provides more
detail:
• Gravida – Total number of pregnancies
• Term – Number of term pregnancies (≥37 weeks)
• Preterm – Number of preterm pregnancies (20–36 weeks)
• Abortions – Number of losses before 20 weeks
• Living – Number of living children
Example: A woman currently pregnant with twins, with one prior term birth and one
miscarriage at 10 weeks, is G3 T1 P0 A1 L1.
This study source was downloaded by 100000898062787 from CourseHero.com on 09-30-2025 02:14:10 GMT -05:00
https://www.coursehero.com/file/251447961/Pregnancy-Module-1-Final-Integrated-Notesdocx/
