Pediatrics Proctored exam
Calculation
A nurse in a prenatal clinic is caring for a client who is pregnant and asks the nurse for her estimated date of birth (EDB). The client's last menstrual period began on July 27. What is the client's EDB? (State the date in MMDD. For example, July 27 is 0727)
Explanation & Rationale
Step 1: Start with the first day of the last menstrual period (LMP) LMP = July 27 (0727) Step 2: Add 1 year Year remains the same conceptually; for MMDD format we only focus on month and day Step 3: Subtract 3 months from the month July → April (07 − 3 = 04) Step 4: Add 7 days to the day 27 + 7 = 34 → Since April has 30 days, 34 − 30 = 4 → move to next month, May Step 5: Adjust month April + 1 month = May (05) Step 6: Final EDB EDB = May 4 → 0504
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