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Nursing
QUESTION #9133
Question 1
A nurse is calculating the expected date of delivery (EDD) using Naegele's rule. The patient's LMP was 10th September. What is the EDD?
Correct Answer Explanation
Naegele's Rule formula:
\[\text{EDD} = \text{LMP} - 3\,\text{months} + 7\,\text{days} + 1\,\text{year}\]
Or equivalently: Add 9 months and 7 days to LMP
Calculation:
- LMP: 10th September
- Subtract 3 months: 10th June
- Add 7 days: 17th June
- Add 1 year (next year)
Therefore, EDD = 17th June (next year)
Normal pregnancy duration: \(280\,\text{days}\) or \(40\,\text{weeks}\) from LMP \(= 266\,\text{days}\) from conception.
Important caveat: Naegele's rule assumes a regular 28-day cycle with ovulation on Day 14. Adjust for irregular cycles accordingly. Ultrasound (especially first trimester CRL) is more accurate for dating.
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