Hey what's going on guys and welcome to episode 17 of the

Physician assistant boards.com podcast and today I want to talk about pregnancy

and how we approach somebody during the first second and third

trimester and speak or touch on a little bit of the common

complications that occur. Let's get right to the content, all right? So the first thing you need

to know, especially for the boards, is how to determine the gestational age.

And they're going to give you a date of a last menstrual period and from that last menstrual period you're expected to figure out the estimated due date or estimated date of delivery.

There's a simple formula, it's called Neegles Rule, and what you're going to do is take the first day of the last menstrual

period you're going to subtract by three that's going to by three months so that'll give you a month and then you're going to add seven days.

Take the first day, last menstrual period, subtract three months and then add seven days.

This is going to give you the estimated date of delivery.

Now, if the patient is irregular,

then you need to do an ultrasound.

Because if the patient doesn't have a menstrual period

every month at around the same time, it doesn't need to be the exact

day then you can't use this rule now on a on a clinical note I would advise that

everybody get an early first trimester ultrasound for exact dating

because they found that although many women think they're regular

although women think they know when their last menstrual period is

the ultrasound is a lot more correct and a lot more accurate

when trying to determine that dating.

So I would advise any of you to order an ultrasound even if the woman is regular,

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