Maternal Reviewer PDF

DOLOTA, ALEXIS CLAIRE A.
MATERNAL AND CHILD REVIEWER

HEALTH NURSING – LECTURE
_____________________________________________________________________________________
DETERMINATION OF ESTIMATED BIRTH DAY
EDC – estimated date of confinement
EDB – estimated date of birth

EDD – estimated date of delivery
1. NAGELE’ RULE – standard method used to predict the length of pregnancy
JANUARY – MARCH (+9 +7)
APRIL – DECEMBER (-3 +7 +1)
2. OVULATION AGE – measurement of life of fetus from the time of ovulation or
fertilization
3. GESTATION AGE (AOG) - measurement of length of pregnancy from the first day of the
last menstrual period (LMP)
ESTIMATING EXPECTED DATE OF DELIVERY NAEGEL’S RULE

PROCEDURE:
❑ Determine the last normal menstrual period (LMP)
❑ Consider first day of LMP
❑ Consider the month in numeric terms
❑ Examples:
JANUARY = 1 SEPTEMBER = 9 MARCH = 3
FOR JANUARY TO MARCH

❑ The given LMP is February 5 – 10 2021. The numerical value of February is 2.
2 5 2021
+9 +7
11 12
EDD November 12. 2021
❑ Compute for the EDD:
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DOLOTA, ALEXIS CLAIRE A. MATERNAL AND CHILD REVIEWER
LMP is MARCH 13 – 17, 2021. The numerical value of MARCH is 3

3 12 2021
+9 +7
12 20
EDD: December 20, 2021
FOR APRIL TO DECEMBER
❑ Use numeric value

Subtract 3 months and add 7 days add 1 to the year
❑ The given LMP is JULY 12 – 17, 2021
Numeric number of JULY is 7
7 12 2021
-3 +7 +1
4 19 2022
EDD: APRIL 19. 2022
❑ Compute for the EDD:
❑ LMP is MAY 1 – 5, 2021
Numeric value of MAY is 5
5 1 2021
-3 +7 +1
2 8 2022
EDD: FEBRUARY 8, 2022
ESTIMATING GESTATIONAL AGE BASED ON LMP

PROCEDURE:
❑ Determine the LMP

❑ Determine the number of days from LMP to the day of assessment
❑ Divide the total number of days by 7
EXAMPLE:
❑ LMP: MARCH 20 –25, 2021
❑ VISIT: JULY 28, 2021
MARCH 31 – 20 = 11
MARCH 11 DAYS
APRIL 30 DAYS
MAY 31 DAYS
JUNE 30 DAYS
JULY 28 DAYS
= 130 DAYS
130 DIVIDED BY 7 = 18 weeks and 4 days or 18 4/7
EXAMPLE:
❑ LMP: APRIL 15 – 20. 2021

❑ VISIT: JULY 12, 2021
APRIL 30 – 15 = 15
APRIL 15 DAYS
MAY 31 DAYS
JUNE 30 DAYS
JULY 12 DAYS
= 88 DAYS
88 DIVIDED BY 7 = 12 weeks and 4 days or 12 4/7
Compute for the AOG
❑ LMP: JUNE 4 – 8, 2021
❑ VISIT: OCTOBER 1, 2021
JUNE 30 – 4 = 26
JUNE 26
JULY 31
AUG 31
SEPT 30
OCT 1
= 119
119 DIVIDED BY 7 = 17 WEEKS
ASSESSMENT OF FETAL GROWTH AND DEVELOPMENT

ESTIMATING FETAL GROWTH – Mc Donald’s Rule
❑ Explain the procedure

❑ Instruct the client to void
❑ Measure the fundic height (FH) in cm. Using Mc Donald’s Rule
FORMULA (Lunar Months)
❑ Multiply the fundic height by two then divide by seven
FH (in cm) X2 = gestational age in LUNAR MOS

7
What is the estimated gestational age in months if the fundic height is 31.5cm?
❑ Solution:
31.5 X2 = 63
63 divided by 7 = 9 months
❑ Compute for the AOG:
What is the estimate gestational age in months if the fundic height is 28cm?
❑ Solution:
28 X 2 = 56
56 divided by 7 = 8 months
FORMULA (weeks)
❑ Multiply the fundic height by 8 then divide by seven
FH (in cm) X8 = gestational age by weeks

7
What is the estimated gestational age in weeks if the fundic height is 36 cm?
❑ Solution:
36 X 8 = 288
288 divided by 7 = 41 – 42 weeks (if there are any decimal or days you extend the weeks)
❑ Compute for the AOG:
What is the estimated gestational age in weeks if the fundic height is 28cm?
❑ Solution:
28 X 8 = 224
224 divided by 7 = 32 weeks
BARTHOLOMEW’S RULE
❑ Estimate AOG by relative position of the uterus in the abdominal cavity
3rd lunar month – fundus is palpable slightly above the symphysis pubis
5th lunar month – fundus is at the level of the umbilicus
9th lunar month – fundus is below the xyphoid process
Fundus height is measured in the centimeters from the pubic symphysis to the topo most
portion of the uterus
HAASE’S RULE
❑ Determines the length of the uterus in centimeter. The length of the embryo in
centimeter can be circulated during the:
❑ First 5 months of gestation by squaring the number month of pregnancy
❑ In the 6th to the 9th month, by multiplying the number of the month of pregnancy by 5
EXAMPLR:
1. A 4-month-old fetus is approx. 16 cm long
4 X 4 = 16cm
2. An 8-month-old fetus is 40cm long

8 X 5 = 40cm
OB CLASSIFICATION
1. GRAVIDA – number of pregnancies
2. PARA – number of viable deliveries (24 weeks)
TPALM: Term, Preterm, Abortion, Living/Live, Multiple

FULL TERM: 37 – 42 weeks (40 wks. Due date)
PRE-TERM: 36 weeks and below (24 – 36 weeks)
POST TERM: after 42 weeks
ABORTION: termination of pregnancy before 24 weeks (23 weeks and below)
EXERCISES:
1. A pregnant woman visited the clinic. History reveals that she had 2 term infants,
preterm twins, and a pregnancy at 19 weeks of gestation
❑ G5, T2, P2, A1, L4, M1
2. A woman visited the clinic. History reveals that she had a baby boy born at 39 weeks of
gestation, baby girl at 40 weeks of gestation and another baby girl at 33 weeks of
gestation.
❑ G3, T2, P1, A0, L3, M0
3. A pregnant woman visited the clinic. She has the following history, baby boy at 36 weeks
of gestation, baby girl at 39 weeks of gestation, triplets at 36 weeks of gestation and
twins at 37 weeks of gestation.
❑ G5, T3, P4, A0, L7, M2
4. A pregnant woman visited the clinic. History reveals that she had term twins, 1 pre-term
and 2 pregnancies at 23 weeks of gestation.
❑ G5, T2, P1, A2, L3, M1
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DOLOTA, ALEXIS CLAIRE A.

MATERNAL AND CHILD REVIEWER

DETERMINATION OF ESTIMATED BIRTH DAY

EDC – estimated date of confinement

EDB – estimated date of birth

ESTIMATING EXPECTED DATE OF DELIVERY NAEGEL’S RULE

FOR JANUARY TO MARCH

LMP is MARCH 13 – 17, 2021. The numerical value of MARCH is 3

FOR APRIL TO DECEMBER

❑ Use numeric value

ESTIMATING GESTATIONAL AGE BASED ON LMP

❑ Determine the LMP

❑ LMP: APRIL 15 – 20. 2021

119 DIVIDED BY 7 = 17 WEEKS

ASSESSMENT OF FETAL GROWTH AND DEVELOPMENT

❑ Explain the procedure

FH (in cm) X2 = gestational age in LUNAR MOS

FH (in cm) X8 = gestational age by weeks

2. An 8-month-old fetus is 40cm long

TPALM: Term, Preterm, Abortion, Living/Live, Multiple

ABORTION: termination of pregnancy before 24 weeks (23 weeks and below)

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