Clinical Assessment of Gestational Age |
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Authors: | RICHARD LIVINGSTON RS VIRGINIA CRANE RN PA LEROY C. MIMS MD |
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Affiliation: | Richard Livingston is currently a fourth-year medical student, at the College of Medicine, University of Arkansas for Medical Sciences, Little Rock.;Virginia Crane is a Perinatal Nurse Practitioner in the Neonatal Intensive Care Unit at the University of Arkansas for Medical Sciences.;LeRoy Mims, MD, is Associate Professor of Pediatrics, Neonatal-Perinatal Medicine, Medical College of Georgia in Augusta. |
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Abstract: | There is disagreement among authors as to what criteria are most reliable in assessing postnatal fetal age. A comparison–for objectivity, accuracy, and frequency of use– of specific criteria was made using three independent examiners at different educational levels: a second-year medical student, a perinatal nurse practitioner, and a pediatrics resident. It was shown that trained examiners develop favorite criteria which differ among examiners and thus sacrifice accuracy; however, accurate assessment of fetal age can be accomplished by an examiner with minimum clinical knowledge. |
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