A 36-year-old gravida 4 para 3 patient presents at her first antenatal clinic visit. She does not know the date of her last menstrual period. The patient says that she had hypertension in her last two pregnancies. The symphysis-fundus height measurement suggests a 32-week pregnancy. At her second visit, the report of the routine cervical smear states that she has a low-grade cervical intra-epithelial lesion. 1. Why is her past obstetric history important? 2. How accurate is the symphysis-fundus height measurement in determining that the pregnancy is of 32 weeks duration? 3. Why would an ultrasound examination not be helpful in determining the gestational age?
A 36-year-old gravida 4 para 3 patient presents at her first antenatal clinic visit. She does not know the date of her last menstrual period. The patient says that she had hypertension in her last two pregnancies. The symphysis-fundus height measurement suggests a 32-week pregnancy. At her second visit, the report of the routine cervical smear states that she has a low-grade cervical intra-epithelial lesion. 1. Why is her past obstetric history important? 2. How accurate is the symphysis-fundus height measurement in determining that the pregnancy is of 32 weeks duration? 3. Why would an ultrasound examination not be helpful in determining the gestational age?
Chapter28: Medications That Affect The Reproductive System
Section: Chapter Questions
Problem 19RQ
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