NUR 230/ NUR230 Exam 1 – (New 2026/ 2027
Update) Concepts of Nursing: The
Childbearing/Child Caring Family Guide
|Questions & Answers | Grade A| 100% Correct
(Verified Solutions)- Galen
SECTION A: GTPAL & OBSTETRIC HISTORY (Q1–10)
Q1. A pregnant client has the following obstetric history: a son born at 38
weeks, a daughter born at 29 weeks who is living, a miscarriage at 8 weeks,
and a stillbirth at 19 weeks. She is currently 24 weeks pregnant. What is her
GTPAL?
A) G5 T1 P1 A2 L2
B) G5 T1 P1 A1 L2
C) G4 T1 P1 A2 L2
D) G5 T2 P1 A1 L2
Correct ,,,,answer,,,,: A) G5 T1 P1 A2 L2
Rationale: G (Gravida) = total number of pregnancies (5). T (Term) = births after
37 weeks (1: son at 38 weeks). P (Preterm) = births 20-36.6 weeks (1: daughter at
29 weeks). A (Abortions) = losses before 20 weeks (2: miscarriage at 8 weeks +
stillbirth at 19 weeks). L (Living) = living children (2: son + daughter) .
Q2. A woman is currently 32 weeks pregnant with twins. She has a 3-year-old
daughter born at 39 weeks and a 1-year-old son born at 36 weeks. She has had
no other pregnancies. What is her GTPAL?
,A) G3 T1 P1 A0 L2
B) G3 T1 P2 A0 L2
C) G3 T2 P1 A0 L2
D) G2 T1 P1 A0 L2
Correct ,,,,answer,,,,: A) G3 T1 P1 A0 L2
Rationale: Current pregnancy is third pregnancy (G=3). Daughter at 39 weeks =
term (T=1). Son at 36 weeks = preterm (P=1). No abortions (A=0). Two living
children (L=2). The current twin pregnancy does not count in living children until
delivery .
Q3. A pregnant client is in her third pregnancy. She delivered one son at 41
weeks who is living. She has also had a miscarriage at 14 weeks. She is
currently 28 weeks pregnant. What is her GTPAL?
A) G3 T1 P0 A1 L1
B) G3 T1 P1 A1 L1
C) G3 T1 P1 A0 L1
D) G2 T1 P1 A1 L1
Correct ,,,,answer,,,,: A) G3 T1 P0 A1 L1
Rationale: Third pregnancy overall (G=3). Son at 41 weeks = term (T=1). No
preterm births (P=0). Miscarriage at 14 weeks is abortion (A=1). One living child
(L=1) .
Q4. A miscarriage at 18 weeks gestation is classified as what in the GTPAL
system?
A) Term birth
B) Preterm birth
C) Abortion
D) Stillbirth
,Correct ,,,,answer,,,,: C) Abortion
Rationale: In GTPAL, any pregnancy loss before 20 weeks gestation is classified
as an "abortion," regardless of whether it was spontaneous or induced. A loss at 18
weeks falls into this category .
Q5. The GTPAL system is important for nurses to understand because it:
A) Determines the genetic risk for congenital anomalies
B) Provides a quick overview of a woman's obstetric history
C) Replaces the need for narrative childbirth history
D) Predicts the outcome of future pregnancies
Correct ,,,,answer,,,,: B) Provides a quick overview of a woman's obstetric
history
Rationale: GTPAL is a shorthand system that gives healthcare providers
immediate insight into a woman's reproductive history, which is essential for risk
assessment and planning care .
Q6. A patient has been pregnant 4 times, delivered 1 term infant, 1 preterm
infant, had 1 miscarriage, and has 2 living children. What is the correct
GTPAL?
A) G4 T1 P1 A1 L2
B) G4 T2 P1 A0 L2
C) G3 T1 P1 A1 L2
D) G4 T2 P0 A1 L2
Correct ,,,,answer,,,,: A) G4 T1 P1 A1 L2
Rationale: Gravida = total pregnancies (4). Term = deliveries after 37 weeks (1).
Preterm = deliveries after 20 weeks but before 37 weeks (1). Abortion = loss
before 20 weeks (1). Living = children currently alive (2) .
, Q7. The "A" in GTPAL stands for:
A) Assisted delivery
B) Abortion (elective or spontaneous loss before 20 weeks)
C) Anomaly present
D) Advanced maternal age
Correct ,,,,answer,,,,: B) Abortion (elective or spontaneous loss before 20
weeks)
Rationale: The "A" in GTPAL represents Abortion, which includes both
spontaneous miscarriages and elective terminations that occur before 20 weeks of
gestation .
Q8. A patient's obstetric history includes: G4 T2 P1 A0 L3. Which client
history matches this calculation?
A) Two term births, one preterm, two abortions, three living children
B) Two term births, one preterm, one abortion, three living children
C) Two term births, one preterm, no abortions, three living children
D) Three term births, one preterm, no abortions, three living children
Correct ,,,,answer,,,,: C) Two term births, one preterm, no abortions, three
living children
Rationale: T=2 means two term births, P=1 means one preterm birth, A=0 means
no abortions/miscarriages, L=3 means three living children .
Q9. A patient reports the following: stillbirth at 19 weeks, miscarriage at 8
weeks, daughter born at 38 weeks, and son born at 29 weeks. What is her
GTPAL?
A) G5 T2 P1 A2 L2
B) G5 T1 P1 A2 L2
Update) Concepts of Nursing: The
Childbearing/Child Caring Family Guide
|Questions & Answers | Grade A| 100% Correct
(Verified Solutions)- Galen
SECTION A: GTPAL & OBSTETRIC HISTORY (Q1–10)
Q1. A pregnant client has the following obstetric history: a son born at 38
weeks, a daughter born at 29 weeks who is living, a miscarriage at 8 weeks,
and a stillbirth at 19 weeks. She is currently 24 weeks pregnant. What is her
GTPAL?
A) G5 T1 P1 A2 L2
B) G5 T1 P1 A1 L2
C) G4 T1 P1 A2 L2
D) G5 T2 P1 A1 L2
Correct ,,,,answer,,,,: A) G5 T1 P1 A2 L2
Rationale: G (Gravida) = total number of pregnancies (5). T (Term) = births after
37 weeks (1: son at 38 weeks). P (Preterm) = births 20-36.6 weeks (1: daughter at
29 weeks). A (Abortions) = losses before 20 weeks (2: miscarriage at 8 weeks +
stillbirth at 19 weeks). L (Living) = living children (2: son + daughter) .
Q2. A woman is currently 32 weeks pregnant with twins. She has a 3-year-old
daughter born at 39 weeks and a 1-year-old son born at 36 weeks. She has had
no other pregnancies. What is her GTPAL?
,A) G3 T1 P1 A0 L2
B) G3 T1 P2 A0 L2
C) G3 T2 P1 A0 L2
D) G2 T1 P1 A0 L2
Correct ,,,,answer,,,,: A) G3 T1 P1 A0 L2
Rationale: Current pregnancy is third pregnancy (G=3). Daughter at 39 weeks =
term (T=1). Son at 36 weeks = preterm (P=1). No abortions (A=0). Two living
children (L=2). The current twin pregnancy does not count in living children until
delivery .
Q3. A pregnant client is in her third pregnancy. She delivered one son at 41
weeks who is living. She has also had a miscarriage at 14 weeks. She is
currently 28 weeks pregnant. What is her GTPAL?
A) G3 T1 P0 A1 L1
B) G3 T1 P1 A1 L1
C) G3 T1 P1 A0 L1
D) G2 T1 P1 A1 L1
Correct ,,,,answer,,,,: A) G3 T1 P0 A1 L1
Rationale: Third pregnancy overall (G=3). Son at 41 weeks = term (T=1). No
preterm births (P=0). Miscarriage at 14 weeks is abortion (A=1). One living child
(L=1) .
Q4. A miscarriage at 18 weeks gestation is classified as what in the GTPAL
system?
A) Term birth
B) Preterm birth
C) Abortion
D) Stillbirth
,Correct ,,,,answer,,,,: C) Abortion
Rationale: In GTPAL, any pregnancy loss before 20 weeks gestation is classified
as an "abortion," regardless of whether it was spontaneous or induced. A loss at 18
weeks falls into this category .
Q5. The GTPAL system is important for nurses to understand because it:
A) Determines the genetic risk for congenital anomalies
B) Provides a quick overview of a woman's obstetric history
C) Replaces the need for narrative childbirth history
D) Predicts the outcome of future pregnancies
Correct ,,,,answer,,,,: B) Provides a quick overview of a woman's obstetric
history
Rationale: GTPAL is a shorthand system that gives healthcare providers
immediate insight into a woman's reproductive history, which is essential for risk
assessment and planning care .
Q6. A patient has been pregnant 4 times, delivered 1 term infant, 1 preterm
infant, had 1 miscarriage, and has 2 living children. What is the correct
GTPAL?
A) G4 T1 P1 A1 L2
B) G4 T2 P1 A0 L2
C) G3 T1 P1 A1 L2
D) G4 T2 P0 A1 L2
Correct ,,,,answer,,,,: A) G4 T1 P1 A1 L2
Rationale: Gravida = total pregnancies (4). Term = deliveries after 37 weeks (1).
Preterm = deliveries after 20 weeks but before 37 weeks (1). Abortion = loss
before 20 weeks (1). Living = children currently alive (2) .
, Q7. The "A" in GTPAL stands for:
A) Assisted delivery
B) Abortion (elective or spontaneous loss before 20 weeks)
C) Anomaly present
D) Advanced maternal age
Correct ,,,,answer,,,,: B) Abortion (elective or spontaneous loss before 20
weeks)
Rationale: The "A" in GTPAL represents Abortion, which includes both
spontaneous miscarriages and elective terminations that occur before 20 weeks of
gestation .
Q8. A patient's obstetric history includes: G4 T2 P1 A0 L3. Which client
history matches this calculation?
A) Two term births, one preterm, two abortions, three living children
B) Two term births, one preterm, one abortion, three living children
C) Two term births, one preterm, no abortions, three living children
D) Three term births, one preterm, no abortions, three living children
Correct ,,,,answer,,,,: C) Two term births, one preterm, no abortions, three
living children
Rationale: T=2 means two term births, P=1 means one preterm birth, A=0 means
no abortions/miscarriages, L=3 means three living children .
Q9. A patient reports the following: stillbirth at 19 weeks, miscarriage at 8
weeks, daughter born at 38 weeks, and son born at 29 weeks. What is her
GTPAL?
A) G5 T2 P1 A2 L2
B) G5 T1 P1 A2 L2
