A 37-year-old female is currently 18 weeks pregnant. She has two sets of twins born at 37 and 38 weeks and a 9-year-old son born at 34 weeks gestation. She has no history of miscarriage or abortion. What is her GTPAL?

G4 T2 P1 A0 L5

G4 T2 P2 A1 L5

G4 T1 P4 A1 L4

G4 T1 P1 A0 L4

Answer and Explanation

The Correct Answer is A

A.   Gravidity (G): The total number of pregnancies, including the current one. She has had 3 prior pregnancies and is currently pregnant, making her G4. Term (T): Number of term births (37 weeks or later). She has had two sets of twins delivered at 37 and 38 weeks, so T2. Preterm (P): Number of preterm births (between 20 and 36 weeks 6 days). She has one son born at 34 weeks, so P1. Abortions (A): Number of pregnancies ending in miscarriage or abortion before 20 weeks. She has no history of miscarriage or abortion, so A0. Living (L): Number of living children. She has two sets of twins (4 children) and her 9-year-old son (1 child), making a total of L5.
B.   Gravidity (G): The total number of pregnancies, including the current one. She has had 3 prior pregnancies and is currently pregnant, making her G4. Term (T): Number of term births (37 weeks or later). She has had two sets of twins delivered at 37 and 38 weeks, so T2. Preterm (P): Number of preterm births (between 20 and 36 weeks 6 days). She has one son born at 34 weeks, so P1. Abortions (A): Number of pregnancies ending in miscarriage or abortion before 20 weeks. She has no history of miscarriage or abortion, so A0. Living (L): Number of living children. She has two sets of twins (4 children) and her 9-year-old son (1 child), making a total of L5.
C.   Gravidity (G): The total number of pregnancies, including the current one. She has had 3 prior pregnancies and is currently pregnant, making her G4. Term (T): Number of term births (37 weeks or later). She has had two sets of twins delivered at 37 and 38 weeks, so T2. Preterm (P): Number of preterm births (between 20 and 36 weeks 6 days). She has one son born at 34 weeks, so P1. Abortions (A): Number of pregnancies ending in miscarriage or abortion before 20 weeks. She has no history of miscarriage or abortion, so A0. Living (L): Number of living children. She has two sets of twins (4 children) and her 9-year-old son (1 child), making a total of L5.
D.   Gravidity (G): The total number of pregnancies, including the current one. She has had 3 prior pregnancies and is currently pregnant, making her G4. Term (T): Number of term births (37 weeks or later). She has had two sets of twins delivered at 37 and 38 weeks, so T2. Preterm (P): Number of preterm births (between 20 and 36 weeks 6 days). She has one son born at 34 weeks, so P1. Abortions (A): Number of pregnancies ending in miscarriage or abortion before 20 weeks. She has no history of miscarriage or abortion, so A0. Living (L): Number of living children. She has two sets of twins (4 children) and her 9-year-old son (1 child), making a total of L5.

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Correct Answer is B

Explanation

A. 16 cm – Incorrect; this is too low for 24 weeks (expected range: ±2 cm of gestational age).
B. 26 cm – Correct; fundal height at 24 weeks is expected to be around 22-26 cm.
C. 30 cm – Incorrect; this is above the expected range and may indicate polyhydramnios or macrosomia.
D. 12 cm – Incorrect; this is too low and could indicate intrauterine growth restriction (IUGR).

A. Maturation of germ cells in ovaries B. Gender differentiation takes place C. Implantation begins D. Differentiation begins

Correct Answer is B

Explanation

A. Maturation of germ cells in ovaries – Incorrect; this occurs later in fetal development and after birth.

B. Gender differentiation takes place – Correct; the embryonic stage (weeks 3-8) is when gender differentiation occurs at around week 7-8.

C. Implantation begins – Incorrect; implantation happens in the blastocyst stage (week 1-2), before the embryonic stage.

D. Differentiation begins – Incorrect; cell differentiation starts earlier, in the blastocyst stage, before full embryonic development.

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A 37-year-old female is currently 18 weeks pregnant. She has two sets of twins born at 37 and 38 weeks and a 9-year-old son born at 34 weeks gestation. She has no history of miscarriage or abortion. What is her GTPAL?

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