Page 659 - Saunders Comprehensive Review For NCLEX-RN

fetus, may make pica a common practice.
3. Iron deficiency anemia may occur as a result of pica.

Box 21-1
Näegele’s Rule for Estimating the Date of

Delivery

First day of last menstrual period: September 12, 2021
Subtract 3 months: June 12, 2021
Add 7 days: June 19, 2021
Add 1 year: June 19, 2022
Estimated date of delivery: June 19, 2022

Box 21-2

Describing Pregnancy Outcome with GTPAL

G = Gravidity
T = Term births
P = Preterm births
A = Abortions or miscarriages
L = Current living children

Example: A woman is pregnant for the fourth time. She had 1 elective abortion in
the first trimester, a daughter who was born at 40 weeks of gestation, and a son who
was born at 36 weeks of gestation. She is gravida (G), 4; term (T), 1 (the daughter
born at 40 weeks); preterm (P), 1 (the son born at 36 weeks); abortion (A), 1 (the
abortion is counted in the gravidity, but is not included in the parity because it
occurred before 20 weeks); living children (L), 2. Parity is the number of births (not
the number of fetuses) carried past 20 weeks of gestation, whether or not the fetus
was born alive. Therefore, the parity for this woman is 2.

Box 21-3

Measuring Fundal Height

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