Maternity Nursing Q 69

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The following are ways of determining the expected date of delivery (EDD) when the LMP is unknown EXCEPT:

  

     A. Naegele’s rule

     B. Quickening

     C. McDonald’s rule

     D. Batholomew’s rule of 4

    

    

Correct Answer: A. Naegele’s rule

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Naegele’s Rule is determined based on the last menstrual period of the woman. Establish the date of the last menstrual period by obtaining a history from the patient. From this date, add 1 year and 7 days, then subtract 3 months. This will approximate the estimated delivery date. The date of the last known menstrual period will give the approximate start date for the age of the fetus.

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Option B: The first fetal movements which are felt by the mother are called quickening. One function of these movements is to alert the pregnant woman that she has a fetus growing in her uterus. Quickening often occurs between the 16th to the 22nd week of pregnancy. This is called a presumptive sign of pregnancy as the other movements of the woman’s body can mimic early fetal movements such as flatus, peristalsis, and abdominal muscle contractions.

Option C: Fundal height, or McDonald’s rule, is a measure of the size of the uterus used to assess fetal growth and development during pregnancy. It is measured from the top of the mother’s uterus to the top of the mother’s pubic symphysis.

Option D: In Bartholomew’s Rule of 4, the landmarks used are the symphysis pubis, umbilicus, and xiphoid process.

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