Carol Wood Nichols, BSN, MSN, CNM of University of Illinois is Assistant Professor at Yale University School of Nursing, Maternal-Newborn Nursing/Nurse-Midwifery Program, and Director of the Yale Nurse-Midwifery Practice.
CLINICAL MANAGEMENT OF SIZE/DATES DISCREPANCY
Article first published online: 10 JAN 2011
1985 American College of Nurse Midwives
Journal of Nurse-Midwifery
Volume 30, Issue 1, pages 15–24, January-February 1985
How to Cite
Nichols, C. W. (1985), CLINICAL MANAGEMENT OF SIZE/DATES DISCREPANCY. Journal of Nurse-Midwifery, 30: 15–24. doi: 10.1016/0091-2182(85)90209-5
- Issue published online: 10 JAN 2011
- Article first published online: 10 JAN 2011
The literature on usual clinical parameters for dating is reviewed. The first trimester bimanual exam, initial auscultation of fetal heart tones, assessments of fundal height, and reported date of quickening are discussed in the context of establishing gestational age. Nurse-midwifery management of the pregnancy that is either “size ahead of dates” or “size behind dates” is presented, with emphasis on the importance of maternal nutrition.