How should the nurse document a woman's obstetric history if she has had a miscarriage, a preterm delivery, and a live child?

To accurately document a woman's obstetric history, the nurse uses the GTPAL system, which stands for Gravida (total number of pregnancies), Term births (deliveries at 37 weeks gestation or later), Preterm births (deliveries between 20 and 36 weeks), Abortions (spontaneous or elective losses before 20 weeks), and Living children.

In this case, the woman has had three pregnancies (Gravida 3) total: one preterm delivery, one live birth, and one miscarriage. Breaking it down:

• Gravida (G) is 3, as she has had three pregnancies.

• Term (T) is 0, as the woman has had no full-term deliveries.

• Preterm (P) is 1, which accounts for the one preterm delivery.

• Abortions (A) is 1, reflecting the miscarriage.

• Living children (L) is 1, representing the one live child she has.

Thus, the documentation should read G3, T0, P1, A1, L1, which corresponds with the selected answer and accurately summarizes her obstetric history. Each part of this documentation is essential for a comprehensive understanding of the woman's reproductive history