Question:

A woman at her first antenatal visit reports LMP 2 months ago. Which ultrasound parameter is most accurate for dating pregnancy at this stage?

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First trimester pregnancy dating = CRL. Second trimester dating commonly uses BPD, HC, AC, and FL.
Updated On: May 14, 2026
  • Biparietal diameter
  • Mean gestational sac diameter
  • Abdominal circumference
  • Crown-rump length
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The Correct Option is D

Solution and Explanation

Concept: Crown-rump length is the most accurate ultrasound parameter for dating pregnancy in the first trimester.

Step 1:
Identify gestational age.
LMP 2 months ago means approximately: \[ 8 \text{ weeks gestation} \] This is the first trimester.

Step 2:
Recall the best dating parameter.
In the first trimester, the most accurate parameter is: \[ \text{Crown-rump length} \]

Step 3:
Compare with other parameters.
Biparietal diameter and abdominal circumference are more useful in later pregnancy. Mean gestational sac diameter is useful very early, but CRL is more accurate once the embryo is visible. Therefore, the correct answer is Crown-rump length.
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