Prenatal Care Screening and Testing
On 1-15-13, you are seeing a 25-year-old Caucasian female in the clinic because she believes she’s pregnant. Her LMP was 12-1-12. Her home pregnancy test was positive, and she has been having nausea and breast tenderness.NURS 6010 Prenatal Care Screening and Testing
Calculating the Estimated Date of Delivery
The estimated date of delivery (EDD) for this patient is 9/8/13. This is calculated using Naegele’s Rule. It is a three-step process. The first day of the last menstrual period (LMP) is determined first, then count back three calendar months from that date and then add one year and seven days to that date. LMP for this pt is 12-1-12, so her EDD would be 12-3(9)1+7(8) 12+1(13). This calculation is based on a normal 28-day menstrual cycle. Therefore, dates may have to be adjusted for longer or shorter menstrual cycles. However, even with adjustments made, less than 10 percent of women actually give birth on their calculated due dates. Delivery two weeks before or after the estimated due date is still considered normal. Having a missed a period, positive pregnancy test, nausea and breast tenderness are all positive indications for positive pregnancy. Correct dating of the pregnancy is critical to prevent unnecessary inductions and to allow for accurate treatment of preterm labor (Jukic, Baird, Weinberg, Mcconnaughey, & Wilcox, 2013 ).NURS 6010 Prenatal Care Screening and Testing