1.

During a prenatal visit (today), a patient tells you her last menstrual period was October
31, 2020.

Based on Naegele's Rule, when is the estimated due date of her baby?

10 31 2020

-3 +7 +1

7 38 2021

EDD: August 7,2021

What is the age of gestation?

36 weeks and 2 days

2. During a prenatal visit (today), a patient tells you her last menstrual period was
November 25, 2020.

Based on Naegele's Rule, when is the estimated due date of her baby?

11 25 2020

-3 +7 +1

8 32 2021

EDD: September 1, 2021

What is the age of gestation?

32 weeks and 5 days

3. During a prenatal visit (today), a patient tells you her last menstrual period was January
20, 2021.

Based on Naegele's Rule, when is the estimated due date of her baby?

1 20 2021

+9 +7

10 27 2021
EDD: October 27, 2021

What is the age of gestation?

24 weeks and 5 days

4. During a prenatal visit (today), a patient tells you her last menstrual period was March 14,
2021.

Based on Naegele's Rule, when is the estimated due date of her baby?

3 14 2021

+9 +7

12 21 2021

EDD: December 21, 2021

What is the age of gestation?

17 weeks and 1 day

5. During a prenatal visit (today), a patient tells you her last menstrual period was February
28, 2021.

Based on Naegele's Rule, when is the estimated due date of her baby?

2 28 2021

+9 +7

11 35 2021

EDD: December 5, 2021

What is the age of gestation?

19 weeks and 1 day

Now, its time to calculate pregnancy outcomes with GTPAL

1. A 20-year-old female is 35 weeks pregnant with twins. She has 6 living children. Four of
the 5 children were born at 39 weeks gestation and one child was born at 32 weeks
gestation. Two years ago she had a miscarriage at 10 weeks gestation. What is her GTPAL?

G7P5 (8-4-1-1-6)

G-7 T- 4 P-1 A-1 L-5

2. A 37-year-old female is currently 16 weeks pregnant. She has 2-year-old twins that were
born at 39 weeks gestation and a 5-year-old who was born at 40 weeks gestation. She had
no history of miscarriage or abortion. What is her GTPAL?

G3P2 (3-2-0-0-3)

G-3 T- 2 P-0 A-0 L-3

3. A 30-year-old female is currently 18 weeks pregnant. She had a miscarriage at 12 weeks

gestation two years ago. She has no living children. What is her GTPAL?

G2P0 (2-0-0-1-0)

G-2 T- 0 P-0 A-1 L-0

4. A 26-year-old female is currently 36 weeks pregnant. She had a miscarriage at 10 weeks

gestation five years ago. She has a three-year-old who was born at 38 weeks. What is her
GTPAL?

G3P1 (3-1-0-1-1)

G-3 T- 1 P-0 A-1 L-1