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Obstetrical History and Assessment Activity

The document discusses determining estimated due dates and ages of gestation for pregnancies based on last menstrual periods. It provides examples of calculating estimated due dates and ages of gestation for 5 patients based on their reported last menstrual periods. It also demonstrates calculating GTPAL scores for 4 patients based on their pregnancy and birth histories.

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Nielette R. BASAL
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484 views

Obstetrical History and Assessment Activity

The document discusses determining estimated due dates and ages of gestation for pregnancies based on last menstrual periods. It provides examples of calculating estimated due dates and ages of gestation for 5 patients based on their reported last menstrual periods. It also demonstrates calculating GTPAL scores for 4 patients based on their pregnancy and birth histories.

Uploaded by

Nielette R. BASAL
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Obstetrical History and Assessment

Determining the expected date of delivery (EDD) and the AOG:

1. During a prenatal visit (today), a patient tells you her last menstrual period was October 31,
2020.

Based on Naegele's Rule, when is the estimated due date of her baby?

EDD = 10 31 20
-3 +7 +1
8 7 21/ EDD= August 7, 2021
What is the age of gestation?
 Nov - 30
 Dec - 31
 Jan - 31
 Feb - 28
 March - 31
 April - 30
 May - 31
 June – 23
AOG = 235 days or 33 weeks 4/7 days

2. During a prenatal visit (today), a patient tells you her last menstrual period was November
25, 2020.

Based on Naegele's Rule, when is the estimated due date of her baby?

EDD = 11 25 20
-3 +7 +1
9 1 21/ EDD= September 1, 2021
What is the age of gestation?
  Nov - 5
 Dec - 31
 Jan - 31
 Feb - 28
 March - 31
 April - 30
 May - 31
 June – 23
AOG = 210 days or 30 weeks

3. During a prenatal visit (today), a patient tells you her last menstrual period was January 20,
2021.

Based on Naegele's Rule, when is the estimated due date of her baby?

EDD = 1 20 21
-3 +7____
10 27 21/ EDD= October 27, 2021
What is the age of gestation?
  Jan - 11
 Feb - 28
 March - 31
 April - 30
 May - 31
 June – 23
AOG = 154 days or 22 weeks

4. During a prenatal visit (today), a patient tells you her last menstrual period was March 14,
2021.

Based on Naegele's Rule, when is the estimated due date of her baby?

EDD = 3 14 21
-3 +7____
12 21 21/ EDD= December 21, 2021
What is the age of gestation?
 March - 17
 April - 30
 May - 31
 June – 23
AOG = 101 days or 14 weeks 3/7 days

5. During a prenatal visit (today), a patient tells you her last menstrual period was February 28,
2021.

Based on Naegele's Rule, when is the estimated due date of her baby?

EDD = 2 28 21
-3 +7____
12 5 21/ EDD= December 5, 2021
What is the age of gestation?
 March - 31
 April - 30
 May - 31
 June – 23
AOG = 115 days or 16 weeks 3/7 days

Now, its time to calculate pregnancy outcomes with GTPAL

1. A 20-year-old female is 35 weeks pregnant with twins. She has 5 living children. Four of the
5 children were born at 39 weeks gestation and one child was born at 32 weeks gestation.
Two years ago she had a miscarriage at 10 weeks gestation. What is her GTPAL?
 G7T4P1A1L5
2. A 37-year-old female is currently 16 weeks pregnant. She has 2-year-old twins that were
born at 39 weeks gestation and a 5-year-old who was born at 40 weeks gestation. She had
no history of miscarriage or abortion. What is her GTPAL?
 G3T2P0A0L3
3. A 30-year-old female is currently 18 weeks pregnant. She had a miscarriage at 12 weeks
gestation two years ago. She has no living children. What is her GTPAL?
 G2T0P0A1L0
4. A 26-year-old female is currently 36 weeks pregnant. She had a miscarriage at 10 weeks
gestation five years ago. She has a three-year-old who was born at 38 weeks. What is her
GTPAL?
 G3T1P0A1L1

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