How is a pregnant client with four living children, one preterm infant, and one abortion recorded?

The correct format for recording a pregnant client’s obstetric history is known as the GTPAL system, where G stands for the total number of pregnancies, T for term births, P for preterm births, A for abortions (both spontaneous and elective), and L for living children.

In the case presented, the client has had six pregnancies (four living children, one preterm infant, and one abortion). Therefore, G, or the total number of pregnancies, is recorded as 6.

Next, the term births (T) must be tallied; term infants are those born after 37 weeks of gestation. Since the client has four living children and one preterm infant, there would be three term infants born (assuming the four live births includes the preterm as it is not specified if any of them were preterm).

The preterm births (P) include the one infant that was born preterm, leading to a value of 1 for P.

The total number of abortions (A), which encompasses the one abortion noted, is recorded as 1.

Lastly, the number of living children (L) is straightforward, as four living children are documented.

Combining these figures, the correct GTPAL representation for this client