A pregnant client has a history of giving birth to one set of twin boys, one term girl and 2 early spontaneous abortions. What is her gravida and para?

In obstetrics, the terms "gravida" and "para" are used to describe a woman's obstetric history:

1. Gravida: The number of times a woman has been pregnant, regardless of the pregnancy outcome (includes current pregnancy).
2. Para: The number of pregnancies reaching the stage of viability (usually around 20 weeks) regardless of the outcome, not the number of fetuses (i.e., not the number of babies born).

In the case described:

• The client has given birth to:
• One set of twin boys (2 pregnancies),
• One term girl (1 pregnancy).
• The client has had:
• 2 early spontaneous abortions.

So, the gravida is 3 (2 pregnancies with twin boys + 1 pregnancy with a term girl) and the para is 1 (1 pregnancy with a term girl).

The notation for this obstetric history would be written as G3P1 (3 pregnancies, 1 term birth). It's important to note that the term "gravida" counts the number of pregnancies, including the current one, and "para" counts the number of pregnancies that have reached viability, regardless of the outcome.