This NCLEX review will discuss GTPAL for nursing. GTPAL is an acronym used to assess pregnancy outcomes.
As a nursing student, you need to know how to evaluate a scenario and calculate the GTPAL. These questions may be found on NCLEX and definitely on nursing lecture exams in maternity.
After you review these notes on GTPAL, don’t forget to take the GTPAL review quiz.
Lecture on GTPAL for the NCLEX Exam
GTPAL stands for
Gravidity: number of times the woman has been pregnant (THIS INCLUDES CURRENT PREGNANCY, MISCARRIAGES, ABORTIONS and *twins/triplets count as one).
Term Births: number born (alive or stillborn) at 37 weeks gestation onward (*twins/triplets count as one)
Preterm births: number born 20-37 weeks (alive or stillborn) (*twins/triplets counts as one)
Abortion: number of abortions or miscarriages (counts as a pregnancy…so would put in gravidity as well & if miscarriage or abortion was at 20-37 weeks you would also put it under preterm birth and if it was 37+ weeks you would include it under term).
Living children: number of children living (NOTE: twin/triplets counts individually)
GTPAL Practice Questions
Question 1: A 26 year old female is currently 26 weeks pregnant. She had a miscarriage at 10 weeks gestation five years ago. She has a three year old who was born at 39 weeks. What is her GTPAL?
Answer: G=3, T=1, P=0, A=1, L=1
Question 2: A 35 year old female is currently pregnant with twins. She has 10 year old triplets who were born at 32 weeks gestation, and 16 years old who was born at 41 week gestation. Twelve years ago she had a miscarriage at 29 weeks gestation. What is her GTPAL?
Answer: G=4, T=1, P=2, A=1, L=4
You may be interested in more Maternity NCLEX Reviews.