Here in the U.S., doctors say the 12th week ultrasound is +/- a week in terms of accuracy.
Here in the UK u have u r first ultrasound at 12 weeks which they call the dating scan which confirms how far along u r! With my first they changed my due date because I was only actually 10+4 so had to go back 2 weeks later so yes they are usually pretty on point.
Only if they are done by about the ninth week of pregnancy. After that, embryos can grow faster or slower than average and ultrasounds get less useful for pinpointing conception dates. By the time a woman is at full term, an ultrasound measurement can be more than two weeks off.