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Obstetrics Nagele’s Rule Quiz
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Obstetrics Nagele’s Rule Quiz

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Questions and Answers

What is the correct method to calculate the estimated due date (EDC) using Nagele’s rule?

  • Subtract 1 year, add 3 months, and subtract 7 days from the LMP.
  • Subtract 3 months, add 7 days, and add 1 year to the LMP. (correct)
  • Add 3 months, subtract 7 days, and subtract 1 year from the LMP.
  • Add 1 year, subtract 7 days, and add 3 months to the LMP.
  • Which term describes a woman who has never been pregnant?

  • Multigravida
  • Primigravida
  • Nullipara
  • Nulligravida (correct)
  • In obstetric terminology, which statement is true regarding gravidity?

  • Gravida refers specifically to viable pregnancies only.
  • Gravidity counts all pregnancies regardless of outcome. (correct)
  • Primigravida is synonymous with multigravida.
  • Nulligravida includes women with one miscarriage.
  • What is the meaning of the term 'multigravida'?

    <p>A woman who has been pregnant three or more times.</p> Signup and view all the answers

    If a woman has had one miscarriage at 12 weeks gestation, what would her obstetric history be?

    <p>Gravida 1, primipara</p> Signup and view all the answers

    Which of the following explains 'para' in obstetric terminology?

    <p>It counts the pregnancies carried beyond 20 weeks regardless of outcome.</p> Signup and view all the answers

    What does the term 'nullipara' indicate?

    <p>A woman who has never produced a viable offspring.</p> Signup and view all the answers

    Which description accurately matches 'primigravida'?

    <p>A woman who is pregnant for the first time.</p> Signup and view all the answers

    What is the primary goal of preconception care?

    <p>To optimize the health and well-being of the patient and partner before pregnancy</p> Signup and view all the answers

    Which of the following is NOT included in preconception care?

    <p>Fertility treatment plans</p> Signup and view all the answers

    Which risk factor is associated with adverse pregnancy outcomes?

    <p>Use of isotretinoins</p> Signup and view all the answers

    What are the three main areas involved in the initial comprehensive health history?

    <p>Reason for seeking care, medical/surgical/family history, and reproductive history</p> Signup and view all the answers

    How is the estimated due date (EDD) primarily determined?

    <p>Using ultrasound and Nagele’s Rule based on the LMP</p> Signup and view all the answers

    Which type of laboratory test is typically part of the first prenatal visit?

    <p>STI screening</p> Signup and view all the answers

    What does a folic acid deficiency during pregnancy primarily affect?

    <p>Fetal neural tube development</p> Signup and view all the answers

    Which of the following conditions does NOT pose a risk for adverse pregnancy outcomes?

    <p>Regular physical activity</p> Signup and view all the answers

    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.

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