Your patient comes for her first prenatal visit on March 9with her wife. They have been together in a mutually monogamous relationship for 5 years. She is sure of her last menstrual period (LMP), January 5, which was normal in flow and length, giving her an estimated gestational age of 9 weeks today. She and her partner are thrilled because she conceived with artificial insemination on their first and only try. When reviewing her medical record you note that she was seen in the Emergency Department on March 5for vaginal spotting and had an ultrasound done at that time where the crown-rump length gave her a gestational age of 8 weeks (3 days different from her LMP date). On her bimanual exam at today's visit her uterine size is 10 weeks. Which of the following would you use to establish a best estimate of the delivery date?

Question

Quizplus · Accepted Answer

The insemination date is the most accurate method to estimate the delivery date in this case, as it provides a precise conception date.

Your Patient Comes for Her First Prenatal Visit on March