Obstetrical History and Assessment

Determining the expected date of delivery (EDD) and the AOG:

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?

EDD = 10 31 20
-3 +7 +1
8 7 21/ EDD= August 7, 2021
What is the age of gestation?
 Nov - 30
 Dec - 31
 Jan - 31
 Feb - 28
 March - 31
 April - 30
 May - 31
 June – 23
AOG = 235 days or 33 weeks 4/7 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?

EDD = 11 25 20
-3 +7 +1
9 1 21/ EDD= September 1, 2021
What is the age of gestation?
  Nov - 5
 Dec - 31
 Jan - 31
 Feb - 28
 March - 31
  April - 30
 May - 31
 June – 23
AOG = 210 days or 30 weeks

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?

EDD = 1 20 21
-3 +7____
10 27 21/ EDD= October 27, 2021
What is the age of gestation?
  Jan - 11
 Feb - 28
 March - 31
 April - 30
 May - 31
 June – 23
AOG = 154 days or 22 weeks

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?

EDD = 3 14 21
-3 +7____
12 21 21/ EDD= December 21, 2021
What is the age of gestation?
 March - 17
 April - 30
 May - 31
 June – 23
 AOG = 101 days or 14 weeks 3/7 days

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?

EDD = 2 28 21
-3 +7____
12 5 21/ EDD= December 5, 2021
What is the age of gestation?
 March - 31
 April - 30
 May - 31
 June – 23
AOG = 115 days or 16 weeks 3/7 days

Now, its time to calculate pregnancy outcomes with GTPAL

1. A 20-year-old female is 35 weeks pregnant with twins. She has 5 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?
 G7T4P1A1L5
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?
 G3T2P0A0L3
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?
 G2T0P0A1L0
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?
 G3T1P0A1L1