In a GTPAL assessment for a client with twins, what should the nurse document?

In GTPAL, which stands for Gravida, Term, Preterm, Abortions, and Living children, documenting the client’s obstetric history accurately is essential. For a client who has delivered twins, the correct values reflect both the number of pregnancies and births as well as the living children.

In this case, the client is gravidarious with two fetuses (twins) from one pregnancy, which gives 2 for Gravida. Since they were born at term as the typical scenario of twins is often full term, there is 1 delivery (Term). There are no preterm births or abortions reported. The couple now has two living children, which is reflected as 2 in the Living count.

Thus, in this assessment, Gravida is 2 (signifying two pregnancies), Term is 1 (indicating one delivery of viable offspring), Preterm is 0, Abortions is 0, and Living is 2. Therefore, documenting these values accurately is vital for understanding the client’s obstetric history, hence why the response provided is appropriate.