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Questions and Answers
What is the correct method to calculate the estimated due date (EDC) using Nagele’s rule?
Which term describes a woman who has never been pregnant?
In obstetric terminology, which statement is true regarding gravidity?
What is the meaning of the term 'multigravida'?
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If a woman has had one miscarriage at 12 weeks gestation, what would her obstetric history be?
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Which of the following explains 'para' in obstetric terminology?
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What does the term 'nullipara' indicate?
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Which description accurately matches 'primigravida'?
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What is the primary goal of preconception care?
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Which of the following is NOT included in preconception care?
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Which risk factor is associated with adverse pregnancy outcomes?
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What are the three main areas involved in the initial comprehensive health history?
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How is the estimated due date (EDD) primarily determined?
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Which type of laboratory test is typically part of the first prenatal visit?
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What does a folic acid deficiency during pregnancy primarily affect?
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Which of the following conditions does NOT pose a risk for adverse pregnancy outcomes?
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Study Notes
Estimating Due Date
- Last Menstrual Period (LMP) is the starting point for calculating the estimated due date (EDD).
- Nagele’s Rule steps:
- Subtract 3 months from the LMP.
- Add 7 days.
- Add 1 year.
- Example: LMP on 1/1/23 leads to an EDD of 10/8/24 after calculations.
Obstetric Terms
- Gravid: State of being pregnant.
- Gravida/Gravidity: Total number of pregnancies, including terminations and multiple births; multiple gestation counts as one pregnancy.
- Nulligravida: Woman with no previous pregnancies.
- Primigravida: Woman pregnant for the first time.
- Secundigravida: Woman pregnant for the second time.
- Multigravida: Woman pregnant for the third time or more.
- Para: Number of births after 20 weeks gestation, regardless of outcomes; multiple births count as one.
- Nullipara: Woman who has not had a viable birth (≥20 weeks).
- Primipara: Woman with one birth after 20 weeks.
- Multipara: Woman with two or more births after 20 weeks.
Preconception and Interconception Care
- Aim: Optimize health and well-being prior to pregnancy to improve outcomes and reduce problems.
- Focus areas:
- Immunization status.
- Pre-existing medical conditions.
- Reproductive healthcare practices.
- Nutrition and lifestyle.
- Psychosocial issues.
- Medication and drug use.
- Identifying risks like alcohol misuse, certain drugs, diseases (e.g., diabetes, STD), obesity, and nutritional deficiencies (e.g., folic acid).
First Prenatal Visit Components
- Comprehensive health history.
- Physical examination.
- Laboratory tests.
Comprehensive Health History
- Main areas of inquiry:
- Reason for care: Suspecting pregnancy, last menstrual period date, pregnancy signs, and hCG testing.
- History: Medical, surgical, family histories.
- Reproductive history: Menstrual cycle, obstetric background, gynecological history.
- Estimating EDD is critical for prenatal care and involves:
- Guidance for maternal/fetal tests.
- Tracking fetal growth.
- Planning specific interventions for complications.
- Ultrasound is the most reliable method for determining EDD.
Importance of Estimated Due Date
- Establishing the estimated date of confinement (EDC) is essential for monitoring and managing the pregnancy effectively.
- Nagele's Rule is a valuable tool for calculating EDC based on LMP.
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Description
Test your knowledge on Nagele’s rule and estimate a patient's expected due date based on their last menstrual period. This quiz will also cover essential obstetric history and pregnancy terms. Perfect for students in obstetrics or maternal care fields.