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: pregnancy losses before 20 weeks (counts as a pregnancy…so would put in
gravidity as well)** if baby died after 20 weeks it is added under preterm or term not
abortion.
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 8 weeks gestation. What is
her GTPAL?
Answer: G=4, T=1, P=1, A=1, L=4
GTPAL Nursing NCLEX Practice Questions
1. A 30 year old female is 25 weeks pregnant with twins. She has 5 living children. Four
of the 5 children were born at 39 weeks gestation and one child was born at 27 weeks
gestation. Two years ago she had a miscarriage at 10 weeks gestation. What is her
GTPAL?
2. A 27 year old female is currently 16 weeks pregnant. She has 2 year-old twins that
were born at 37 weeks gestation and a 5 year-old who was born at 40 weeks gestation.
She had no history of miscarriage or abortion. What is her GTPAL?
3. A 20 year old female is currently 8 weeks pregnant. She had a miscarriage at 32
weeks gestation two years ago. She has no living children. What is her GTPAL?
4. 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?
5. A 35 year old female is currently pregnant with twins. She has 10 year old triplets
who were born at 32 weeks gestation, and a 16 year old who was born at 41 week
gestation. Twelve years ago she had a miscarriage at 29 weeks gestation. What is her
GTPAL?
6. A 39 year old female is currently 18 weeks pregnant. She has two sets of twin
daughters that were born at 38 and 39 weeks gestation and an 11 year-old son who
was born at 32 weeks gestation. She has no history of miscarriage or abortion. What is
her GTPAL?
7. A 29 year old female is currently 9 weeks pregnant. She has no living children. Two
years ago she had 2 miscarriages at 10 and 12 weeks gestation, and 9 months ago a
miscarriage at 36 weeks gestation. What is her GTPAL?
8. A 30 year old female is 20 weeks pregnant with twins. She has a 6 year-old who was
born at 40 weeks gestation. She has no history of miscarriage or abortion. What is her
GTPAL?
Answer Key:
1. G=7, T=4, P=1, A=1, L=5
2. G=3, T=1, P=0, A=0, L=3
3. G=2, T=0, P=1, A=1, L=0
4. G=3, T=1, P=0, A=1, L=1
5. G=4, T=1, P=2, A=1, L=4
6. G=4, T=2, P=1, A=0, L=5
7. G=4, T=0, P=1, A=3, L=0
8. G=2, T=1, P=0, A=0, L=1
Naegel’s Rule
- Used for estimating due date (EDD) based on LMP (last menstrual period)
- Bases calculation on a woman who has a 28-day cycle (most woman vary) with
typical gestation period of 280 days (40 weeks) (varies… 1st time mother usually
slightly longer)
o Remember the months that have 30 vs. 31 & 28 days (Feb)
30 days: April, June, September, November
Subtract 3 months Add 7 days LMP
Add 7 days to LMP Add 9 months
Add 1 year = ________________
________________ EDD
EDD (*Best when LMP January-March)
(*Best when LMP is
April-December)
Example:
LMP: September 2, 2016 LMP: Sept. 28, 2016
- 3 months - 3 months
_______________ ____________
June 2,2016 June 28, 2016
+7 days + 7 days
_______________ ____________
June 9, 2016 July 5, 2016
+1 year + 1 year
_______________ ____________
Ans: June 9, 2017 Ans: July 5, 2017
