The nurse in an OB clinic is completing an intake assessment of a client at the first prenatal appointment.The client is currently 9 weeks pregnant.She had a miscarriage at 7 weeks and an ectopic pregnancy at 6 weeks that was treated with methotrexate.Her five-year-old son was born vaginally at 39 weeks and her three-year-old daughter was born vaginally at 35 weeks.What is her GTPAL?