Examination Skills

Question 1

What is the first step in obstetric history taking?

Answer 1

Wash hands

Question 2

What information should be confirmed at the beginning of obstetric history?

Answer 2

NAME, AGE, G+P, EDD/GA

Question 3

What should be assessed regarding the patient’s pregnancy?

Answer 3

Single or multiple pregnancy, ethnicity of patient

Question 4

What are key symptoms to ask about in obstetric history?

Answer 4

PV bleeding, contractions, pain, fluid loss or discharge, other problems with pregnancy

Symptoms of pre-eclampsia: H/A visual disturbances,
epigastric pain, oed

Question 5

What symptoms indicate potential pre-eclampsia?

Answer 5

H/A, visual disturbances, epigastric pain, oedema

Question 6

What does HOPC stand for in obstetric history?

Answer 6

History of Presenting Complaint

Question 7

What Acronym should be considered in HOPC?

Answer 7

SOCRATES

Question 8

What investigations should be confirmed in the current pregnancy?

Answer 8

Rh group, GBS, anomaly scan, etc.

Question 9

What is included in past obstetric history?

Answer 9

List previous pregnancies in order, sex, mode of delivery, neonatal outcomes

Question 10

What are some issues to note in past obstetric history?

Answer 10

• Miscarriages and stillbirths
• Preterm delivery
• Early onset preeclampsia
• Abruption
• Small for date (SFD) or macrosomia
• GDM

Question 11

What aspects are covered in past gynecological history?

Answer 11

• Contraception
• Smear – when and result
• Any conditions or operations
• Recurrent STI or PID

Question 12

What can maternal diabetes cause in pregnancy?

Answer 12

• Macrosomia
• Foetal growth restriction (FGR)
• Congenital abnormality
• Pre-eclampsia
• Stillbirth
• Neonatal hypoglycaemia

Question 13

What risks are associated with hypertension in pregnancy?

Answer 13

Pre-eclampsia

Question 14

What are some conditions that may worsen renal disease during pregnancy?

Answer 14

• Worsening renal disease
• Pre-eclampsia
• FGR
• Preterm delivery

Question 15

What is the significance of HIV in pregnancy?

Answer 15

Vertical transmission

Question 16

What should be confirmed during obstetric examination?

Answer 16

NAME, AGE, G+P, GA

Question 17

What should be assessed during abdominal inspection?

Answer 17

• Distension
• Shape
• Foetal movements
• Contour
• Skin changes

Question 18

What are Leopold’s manoeuvres used for?

Answer 18

Palpating the position of the fetus

Question 19

What does Nagle’s Rule calculate?

Answer 19

Estimated Due Date (EDD)

Question 20

What defines macrosomia?

Answer 20

≥4500 grams

Question 21

What defines small for date (SFD)?

Answer 21

<10th centile

Question 22

What causes large symphysial-fundal height (SFH)?

Answer 22

• Inaccurate measurement
• Multiple pregnancy
• Macrosomia
• Polyhydramnios
• Wrong dates

Question 23

What causes small SFH?

Answer 23

• Inaccurate measurement
• IUGR
• Oligohydramnios
• Foetal descent into pelvis

Question 24

What is the first step in post-natal history taking?

Answer 24

Wash hands

Question 25

What should be confirmed in post-natal history?

Answer 25

NAME, AGE, Parity ONLY, GA at delivery

Question 26

What are the potential symptoms to assess post-natally?

Answer 26

• Pain
• Bleeding
• Temperatures
• Discharge
• Perineal discomfort
• Pain in legs/chest
• Mood

Question 27

What is included in the mode of delivery assessment?

Answer 27

• Vaginal delivery – spontaneous or induced, instrumental
• C-section – elective or emergency

Question 28

What should be assessed during the post-natal examination?

Answer 28

• General inspection
• Abdominal inspection
• Palpation
• Percussion and auscultation for bowel sounds
• Check limbs for oedema

Question 29

What is a common duration of hospital stay for vaginal delivery?

Answer 29

1-2 days

Question 30

What is a common duration of hospital stay for cesarean section?

Answer 30

4-5 days

Question 31

What is a common post-partum abdominal distension caused by?

Answer 31

Gas/constipation