GTPAL
An acronym used to assess pregnancy outcomes
G GRAVIDITY The number of pregnancies
• Includes the present pregnancy
• Includes miscarriages / abortions
• Twins / triplets count as one
T TERM BIRTHS The number born at term
• > 37th week of gestation
• Includes alive or stillborn
• Twins / triplets count as one
P PRE-TERM
BIRTHS
The number of pregnancies delivered
beginning with the 20th - 36 6⁄7th weeks
of gestation
• Includes alive or stillborn
• Twins / triplets count as one
ABORTIONS /
A MISCARRIAGES
The number of pregnancies delivered
before 20 weeks gestation
• Counts with gravidity
• Twins / triplets count as one
L LIVING
CHILDREN
The number of current living children
• Twin / triplets count individually
ANSWER KEY
Q#2 is (C) 4-2-1-0-4
Q#1 is (D) 3-2-0-1-2
PRACTICE QUESTION 1 PRACTICE QUESTION 2
You are admitting a client to the mother-baby A prenatal client’s obstetric history indicates that
unit. Two hours ago she delivered a boy on she has been pregnant 3 times previously and
her due date. She gives her obstetric history that all her children from previous pregnancies are
as follows: she has a three-year-old daughter living. One was born at 39 weeks gestation, twins
who was delivered a week past her due date were born at 34 weeks gestation, & another child
and last year she had a miscarriage at 8 weeks was born at 38 weeks gestation. She is currently 38
gestation. How would you note this history weeks pregnant. What is her gravidity & parity using
using the GTPAL system? the GTPAL system?
A. 2-2-1-0-2 A. 4-1-3-0-4
B. 3-2-1-0-1 B. 4-1-2-0-3
C. 3-2-1-0-2 C. 4-2-1-0-4
D. 3-2-0-1-2 D. 4-2-2-0-4
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An acronym used to assess pregnancy outcomes
G GRAVIDITY The number of pregnancies
• Includes the present pregnancy
• Includes miscarriages / abortions
• Twins / triplets count as one
T TERM BIRTHS The number born at term
• > 37th week of gestation
• Includes alive or stillborn
• Twins / triplets count as one
P PRE-TERM
BIRTHS
The number of pregnancies delivered
beginning with the 20th - 36 6⁄7th weeks
of gestation
• Includes alive or stillborn
• Twins / triplets count as one
ABORTIONS /
A MISCARRIAGES
The number of pregnancies delivered
before 20 weeks gestation
• Counts with gravidity
• Twins / triplets count as one
L LIVING
CHILDREN
The number of current living children
• Twin / triplets count individually
ANSWER KEY
Q#2 is (C) 4-2-1-0-4
Q#1 is (D) 3-2-0-1-2
PRACTICE QUESTION 1 PRACTICE QUESTION 2
You are admitting a client to the mother-baby A prenatal client’s obstetric history indicates that
unit. Two hours ago she delivered a boy on she has been pregnant 3 times previously and
her due date. She gives her obstetric history that all her children from previous pregnancies are
as follows: she has a three-year-old daughter living. One was born at 39 weeks gestation, twins
who was delivered a week past her due date were born at 34 weeks gestation, & another child
and last year she had a miscarriage at 8 weeks was born at 38 weeks gestation. She is currently 38
gestation. How would you note this history weeks pregnant. What is her gravidity & parity using
using the GTPAL system? the GTPAL system?
A. 2-2-1-0-2 A. 4-1-3-0-4
B. 3-2-1-0-1 B. 4-1-2-0-3
C. 3-2-1-0-2 C. 4-2-1-0-4
D. 3-2-0-1-2 D. 4-2-2-0-4
© 2021 NurseInTheMaking LLC. Sharing and distributing this copyrighted material without permission is illegal. 53
