GTPAL and Naegel's
Probable, Positive, or Presumptive
Nutrition
Anything goes
100

This is one of 2 things the "P" can stand for.

What is para or preterm?

100

Of Probable, Positive, or Presumptive, these are subjective changes that the woman experiences.  These are the least reliable because they can be caused by conditions other than pregnancy

What are presumptive indications of pregnancy?

100

A woman with a BMI >30 should not gain more than this much weight during pregnancy

What is 20 lbs (9 kg)?

100

Fundal height at 20 weeks should be at this anatomical landmark.

What is umbilicus?

200

G4 T1 P1 A1 L3

What is currently pregnant for the 4rd time, 

one pregnancy delivered at full term (38-40 wks),

one pregnancy delivered pre-term,

one miscarriage/abortion,

3 living children

200

Of Probable, Positive, or Presumptive, these are signs that are only caused by pregnancy

What are Positive?

200

This nutrient is needed for tissue development of the baby

What is protein?

200

Of low rbc count or extra fluid, this is the reason for physiologic anemia.

What is extra fluid?

300

Last menstrual period was February 12, 2023. This is the estimated date of delivery

What is November 19, 2023?

300

A positive pregnancy test is considered this kind of sign.

What is probable?

300

This nutrient is needed to prevent neural tube deficits

What is folate or folic acid?

300

This is the organ that provides oxygen to the baby.

What is the placenta?

400

Last menstrual period was June 28, 2023.  This is the estimated date of delivery

What is April 4, 2024?

400

Name 3 presumptive signs of pregnancy.

What are amenorrhea, morning nausea and vomiting, breast and skin changes, fetal movement?

400

This much folic acid is needed for women of child-bearing years.

What is 400-800 mcg each day?

400

This is the time of gestation that the heartbeat can be seen on ultrasound

What is 6 weeks?

500

Jolene is pregnant for the third time.  Her first pregnancy she delivered at 36 weeks.  The child is living.  Her second pregnancy she delivered triplets at 34 weeks.  One of the triplets died 3 days after birth.  This is her GTPAL score.

What is G3 T0 P2 A0 L3

500

Heart sounds can be auscultated

What is a positive sign of pregnancy?

500

Mom may need to take these supplements because the baby will need this nutrient to help make red cells

What is iron?

500

Gastric system slows

Pelvic muscles tighten

Cervix becomes blue

One of these is not a normal physiological change for pregnancy

What is Pelvic muscles tighten?

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