Clin Wk 3

Question 1

Outline an obstetric history

Answer 1

• Presenting complaint
• Associated symptoms (nausea/vomiting, reduced fetal movements, vaginal bleeding, abdo pain, headache [why?])
• Obstetric history
• Gynae hx (?STIs, ?cervical screening)
• Past medical/medications
• Fhx
• Social Hx

Question 2

What’s an APGAR score? When do we use it?

Answer 2

A way of assessing the health of a baby 1 and 5 minutes after birth:
- Appeareance (all white/blue, pink and blue, pink)
- Pulse (none, <100, >100)
- Grimace (no response, grimace, cry)
- Activity/tone (none, some flexion, arms and legs flexed
- Resp (no breathing, weak crying, strong crying)

Question 3

How to document a woman who’s been pregnant x times, gave birth to y babies, and had z miscarriages

Answer 3

GxPy (z miscarriages)

Question 4

Are antenatal screening tests always correct? What are the ethical implications of this?

Answer 4

• Tests may be false positive/negative
• On one hand, may provide more info. On the other, a false result could sway decision making the wrong way