History and Examination in Obstetrics and Gynaecology

Question 1

what things do we look for in a vaginal examination?

Answer 1

• position of uterus
• size of uterus
• mobility of uterus
• adnexal masses
• tenderness/cervical excitation

Question 2

what equipment is used for a vaginal exam?

Answer 2

Question 3

what things would we ask when taking a past obstetric history?

Answer 3

• all previous pregnancies and outcomes e.g. para 1+0, para 2+1, para 0+3
• date
• type of delivery
• LB/SB live born or still born
• weight and sex of baby
• any problems encountered during pregnancy/delivery/postnatally

Question 4

what does an obstetric examination include?

Answer 4

• general exam including BP
• abdominal exam (assess the lie of the fetus, listen to fetal heart)
• fundus height (FH)
• urine sample