CARE OF MOTHER, CHILD, AND ADOLESCENT (WELL CLIENTS)

ST. PAUL UNIVERSITY – SURIGAO LECTURER: Mrs. Jobelle Teves

COLLEGE OF NURSING TRANSCRIBED BY: Charade P. Mosenabre

TABLE OF CONTENTS a. January to March: Count back 3

I. Overview calendar months from first day of
II. Obstetric History LMP then add 7 days.
III. OB Scoring b. April to December: Count back 3
IV. Estimated Date of Delivery (EDD) calendar months from first day of
V. Age of Gestation (AOG)
LMP then add 7 days and 1 year.
OVERVIEW
c. Note: You can also add 9
→ Delivery = Childbirth calendar months from first day of
o NSVD - Normal Spontaneous Vaginal LMP then add 7 days (applicable
Delivery to all months)
o CS – Cesarean Section
EXAMPLE:
Indications:
LMP: October 2, 2021
1. Fetal distress
10 2 21
2. Cephalopelvic disproportion
-3 +7 +1
(CPD)
7 9 22
3. Macrosomic baby (newborn
EDD = July 9, 2022
who is larger than average)
→ 120bpm – 160bpm
AGE OF GESTATION (AOG)
OBSTETRIC HISTORY (OB Hx)
GTPALM → Determining Weeks AOG
→ G – gravida; number of pregnancies regardless a. Count the no. of days between
of the outcome the LMP and current date of
o nulligravida - not/never pregnant consultation
o primigravida - first time b. Formulated answer is divided by
o multigravida - has been pregnant for at 7
least 2nd time c. The quotient is the number of
→ T – term; number of full-term births (38-42 weeks
weeks)
d. Remainder is the number of days
o post term >42 weeks
→ P – parity; number of pre-term births (24 EXAMPLE:
weeks→age of viability) LMP: October 2, 2021
o nullipara - has not carried any Date of Consultation: January 11, 2022
pregnancy to the stage of visibility
o primipara - has delivered once of a Oct: 31-2= 29
fetus/es who reached the stage of Nov: 30
visibility; any abortion is NOT included in Dec: 31
the counting of parity Jan: 11
o multipara – has completed 2 or more 101 divided by 7
pregnancies to the stage of visibility AOG = 14 weeks and 3 days or
→ A – abortion; terminated pregnancy (23 weeks) 14 3/7 weeks
→ L – number of currently living children
→ M – multiple pregnancy (e.g., twins) ; counted as
one

OB SCORING
G3 T2 P1 A0 L4 M1
= 3 pregnancies, 3 births, 2 term births, 1
preterm birth, 0 abortion, 4 living children, 1
multiple pregnancy

ESTIMATED DATE OF DELIVERY (EDD)

→ Naegele’s Rule

MOSENABRE  2022 1