Mark Klimek - Maternity/Newborn Lecture Exam Questions with Complete Solutions

Calculating expected date of delivery (Naegale's Rule) - ANSWER-FIRST day if last menstrual period + 7 days - 3 months Example: June 10-15 was last menstrual period Expected date of delivery: March 17 Total expected weight gain during pregnancy - ANSWER-28 lb + or - 3 (25 - 31 lb) 1st trimester expetcted weight gain - ANSWER-1 lb/MONTH (total of 3 lbs in 3 months) 2nd/3rd trimester expected weight gain - ANSWER-1 lb/WEEK Calculating patient's weight during pregnancy Weeks: 12 13 14 15 16 40 Pounds: 3 4 5 6 7 31 - ANSWER-RULE: Difference of 9 week - 9 = ideal weight gain compare to actual weight gain Example: 28 weeks gestation - 9 = 19 lb compared to 22 lb = off by 3lb Within 1-2 lbs = okay 3 lbs off = ax 4 lbs off = trouble First trimester (1 - 12 weeks) - ANSWER-expected weight gain: 1 lb/month (total: 3lbs/3 months) Fundus not palpable priority = mom Fundus can be palpated at end of 1st trimester (12 weeks) Second trimester (13 - 27 weeks) - ANSWER-expected weight gain: 1 lb/week