AOG

COMPUTATIO
NS
Apple G. Alvarez, RN,MN
TERMS RELATED TO PREGNANCY STATUS
 EXERCISE #1
A woman who has had two previous pregnancies, has given birth to two term
children, and is pregnant again.

Gravida: 3
Para: 2
 EXERCISE #2
A woman who has had two miscarriages at 12 weeks (under the age of viability)
and is again pregnant.

Gravida: 3
Para: 0
A more comprehensive system for classifying
pregnancy status is the GTPAL.

It provides greater detail on a woman’s

pregnancy history. By the system, the gravida
classification remains the same, but para
classification is broken down into TPAL.
 GTPAL
G: Number of pregnancies
T: Number of full-term infants born (infants born 37 weeks or after)
P: Number of preterm infants born (infants born before 37 weeks)
A: Number of spontaneous miscarriages and therapeutic/forced abortions
L: Number of living children
 EXERCISE #3
A woman who has had two previous pregnancies, has given birth to two term
children, and is pregnant again.

Gravida: 3 Preterm: 0 Living children: 2

Term: 2 Abortion: 0

G: Number of pregnancies
T: Number of full-term infants born (infants born 37 weeks or after)
P: Number of preterm infants born (infants born before 37 weeks)
A: Number of spontaneous miscarriages and therapeutic/forced abortions
L: Number of living children
 EXERCISE #4
A multigestation pregnancy is considered as one para. Let’s take this as an example:
A woman who had term twins, then one preterm infant, and is now pregnant again.

Gravida: 3 Preterm: 1 Living children: 3

Term: 2 Abortion: 0

G: Number of pregnancies
T: Number of full-term infants born (infants born 37 weeks or after)
P: Number of preterm infants born (infants born before 37 weeks)
A: Number of spontaneous miscarriages and therapeutic/forced abortions
L: Number of living children
 EXERCISE #5
A pregnant woman’s history: A boy born at 39 weeks’ gestation, now alive and well; a
girl born at 40 weeks’ gestation, now alive and well; a girl born at 33 weeks’ gestation,
now alive and well;

Gravida: 4 Preterm: 1 Living children: 3

Term: 2 Abortion: 0

G: Number of pregnancies
T: Number of full-term infants born (infants born 37 weeks or after)
P: Number of preterm infants born (infants born before 37 weeks)
A: Number of spontaneous miscarriages and therapeutic/forced abortions
L: Number of living children
EXPECTED DATE OF
CONFINEMENT (EDC)
NAEGEL’S RULE
 A typical pregnancy lasts fo 280 days or 40 weeks on average.
 It starts from the first day of the Last Menstrual Period (LMP)
 The first day of the LMP will be considered as day 1.

The EDC can be calculated through the following steps:

i. Determine the first day of LMP
ii. Count 3 calendar months from that date
iii. Add 1 year and 7 days to that date
iv. Formula: (Month – 3) (Day + 7) (Year + 1)
 NAEGEL’S RULE
If the patient’s LMP is on the first three months (January,
February, and March), don’t add 1 year anymore since the average
pregnancy length is only 9 months.
i. Determine the first day of LMP
ii. Count 3 calendar months from that date
iii. Add 7 days to that date
iv. (Month + 9) (Day + 7) (Year)
 EXERCISE #6
Determine the pregnant woman’s EDC if her last menstrual period began on
September 9, 2018

(September – 3) (9 +7) (2018 + 1)

June 16, 2019

 EXERCISE #6
Determine the pregnant woman’s EDC if her last menstrual period began on
January 07, 2019

(January + 9) (7 + 9) (2019)

October 14, 2019

Intravenous fluid (IVF)
computation
 Calculating dosages and
administration rates
 A. Concentration of solution in mg/ml =

Calculate the concentration of a 1000ml IVF solution if the drug is

250mg
Answer: 0.25mg/ml
 Calculating dosages and
administration rates
 B. Infusion rate in gtts/minutes

= drip factor (gtts/ml)

The provider has ordered 1,000 mL Lactated Ringers to infuse over 8 hours. You have a
macrodrip tubing with a drop factor of 15 gtts/mL. Calculate how many gtts/min to set
as the IV flow rate.

  = drip factor (gtts/ml)

  = 15 gtts/ml

  =
 Calculating dosages and
administration rates
 B. Infusion rate in gtts/minutes When the IV tubing is
microdrip, 60 gtts/mL, the
= drip factor (gtts/ml) drops per min will be the
same as the mL per hour.

  = 60 gttts/ml For example, you have 500

mL to infuse over 12 hours
with a microdrip set. The
  = total volume (500 mL),
divided by the total time in
hours (12), equals 41.6,
rounded to 42 mL per hour.
 Calculating dosages and
administration rates
 B. Infusion rate in gtts/minutes Ancef 1gm in 100 mL
normal saline solution to
= drip factor (gtts/ml) be infused over 30 minutes.
You have macrodrip tubing
with a drop factor of 10
  = 10 gttts/ml
gtts/mL. Calculate how
many gtts/min to set as the
  = IV flow rate.
 Calculating dosages and
administration rates
 C. Infusion rate using an IV infusion pump ml/hour Ancef 1gm in 100 mL
normal saline solution to
= be infused over 30 minutes.
You have macrodrip tubing
with a drop factor of 10
  = gtts/mL. Calculate how many
gtts/min to set as the IV flow
rate.
  =
If you need to set this up on an
IV infusion pump, use the
formula, volume (mL) divided
by time (min), multiplied by
60 min over 1 hour, this equals
the IV flow rate in mL/hr.
THANK
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