Gtpalnaegeles KEY - Worksheet that covers GTPAL and Naegele\'s Rule from Families in Transitions PDF

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Worksheet that covers GTPAL and Naegele's Rule from Families in Transitions with Terri Enslein...

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GTPAL & Naegele’s Rule

 Gravida (G) Number of times a woman has been pregnant. Regardless of the duration or outcome.  Para (P) Number of deliveries after 20 weeks gestation. Whether the infant is born alive or not.  Abortions (A) Completion of pregnancy that occurs before the end of 20 weeks gestation. Miscarriages, abortions, etc.  Living (L) – Number of children currently living.  Viability: Ability to live outside the uterus, 20-24 weeks.  Pre-Term- An infant that delivers between 20 weeks gestation but before completion of 36 weeks gestation.  Late preterm – infant delivered from 34 to the end of 36 weeks  Post-Term- Infant delivered at or beyond 42 weeks gestation  Term- An infant that delivers between 37 weeks gestation and but before 42 weeks gestation  Early term – infant delivered between 37 and end of 38 weeks  Term – infant delivered between 39 to end of 40 weeks  Late term – infant delivered between 40 and end of 41 weeks 1. A patient arrives in triage claiming she is in labor. She tells you that this is her 7th pregnancy, with previous deliveries at 37, 28, 40, 39 and 38 weeks respectively, as well as a loss at 14 weeks. She reports that one of her children died of SIDS at 4 months of age. What is her G/P? GTPAL? G7P5 G7T4P1A1L4 2. You are caring for a woman in the postpartum unit. She just delivered twins at 35 weeks. She has also previously delivered two other children. One child was born at 38 weeks and the other was stillborn at 30 weeks. What is her G/P? What is her GTPAL? G3P3 G3T1P3A0L3

3. A woman comes in to the office and is currently pregnant. She previously lost a child at 12 weeks. What is her G/P? What is her GTPAL? G2P0 G2T0P0A1L0

4. In postpartum, you are assigned to care for a woman who delivered a healthy baby girl at 40 weeks. What is her G/P? What is her GTPAL? G1P1 G1T1P0A0L1

GTPAL & Naegele’s Rule

5. A woman comes in to the office and you are taking her pregnancy history. She states she is pregnant now. She has delivered one child at 38 weeks, one at 40 weeks, one at 16 weeks, and one at 32 weeks. What is her G/P? What is her GTPAL? G5P3. G5T2P1A1L3

6. A woman comes in to the office and you are taking her pregnancy history. She states she is pregnant now. She previously delivered twins via primary c/s at 37 weeks. What is her G/P? What is her GTPAL? G2P1 G2T2P0A0L2

Naegele’s Rule Calculations Approximate Calculation of Due Date: Once you are sure you are pregnant, the question you need to ask is, “when am I due?” There are various ways to estimate a due date, but these are never absolute. Naegele’s Rule: For a woman with regular 28 day cycles, the expected due date (EDD or EDC) can be calculated by adding 9 calendar months and 7 days to the first day of her last menstrual period (LMP). Or Subtract three months and add 7 days from the LMP.

Now you try… 1. LMP: 4/12/19

EDD: 1/19/20

2. LMP:11/22/2019

EDD: 8/29/20

3. LMP: 12/28/2019 4. LMP: 1/1/2020

EDD: 10/5/20

EDD: 10/8/20...