How would you document the GPA for a patient who is currently pregnant, has been pregnant two times in the past, and has one child at home?

To document the GPA (Gravida, Para, Abortus) for a patient, it's important to understand what each component represents:

• Gravida (G) refers to the total number of pregnancies a woman has had, regardless of the outcome.

• Para (P) indicates the number of pregnancies that have reached viable gestational age (typically considered 20 weeks or more).

• Abortus (A) denotes the number of pregnancies that ended in miscarriage or elective abortion before reaching viability.

In this case, the patient is currently pregnant, which adds 1 to the Gravida count. She has been pregnant two times in the past, totaling three pregnancies now. She has one child at home, which indicates that one of those past pregnancies reached viability (thereby contributing to the Para count). The other past pregnancy must have ended before the 20-week mark, which would contribute to the Abortus count.

Therefore, for this patient:

• Gravida is 3 (the current pregnancy plus 2 past pregnancies).

• Para is 1 (only one pregnancy reached viability, resulting in one living child).

• Abortus is 1 (the remaining past pregnancy likely ended in either miscarriage or elective abortion).

Putting this all together gives you a