Using the GTPAL system, which designation is the most accurate summary of this client's obstetrical history (4 pregnancies; 1 term birth; 2 preterm births; 0 abortions; 3 living children)?

• A. 3-1-1-1-3.
• B. 4-1-2-0-3.
• C. 3-0-3-0-3.
• D. 4-3-1-0-2.

Answer: (B)

GTPAL breaks down obstetric history into five parts: Gravida (total pregnancies), Term (deliveries at 37 weeks or later), Preterm (deliveries before 37 weeks), Abortions (pregnancy losses before viability), and Living (currently living children). With four pregnancies in total, one of those reached term, two were preterm, there were zero abortions, and three children are living now. That sequence is 4-1-2-0-3, which matches every provided detail and gives the most accurate summary of this history.