History and examination obs and gyne Flashcards
what must you never forget in a gyne history (4)
LMP
Cycle
Contraception/sexually active
Last smear
What specific conditions are you looking for (4)
Menorrhagia
Prolapse
Pelvic pain
Early pregnancy bleeding
What do you do in a gyne examination (5)
Intimate examination
General
Abdominal
PV
Speculum – Cuscos/Sims
What are you looking for on examination of the uterus? (5)
Position of uterus Size of uterus Mobility of uterus Adnexal masses Tenderness/cervical excitation
What 2 speculum may you use for vaginal examination?
Cusco speculum
Sim speculum
what to cover in an obstetric history?
Parity
para1+0 para2+1 para0+3
- FH, SH
Past obstetric history (6)
All previous pregnancies and outcomes Date Type of delivery LB/SB Weight and sex of baby Any problems encountered during pregnancy/delivery/postnatally
Obstetric examination includes? (4)
General examination including BP
Abdominal examination
FH
Urine
How do you measure fundal height? (4)
Mother semi recumbent with empty bladder - Palpate fundus with 2 hands - Secure tape measurement down at top of fundus - Measure to top of symphsis pubis - Measure along longitudinal axis of measurement
fetus postion longitudinal means?
head down feet up
- cephalic
fetus postion transverse means?
lying flat
fetus position oblique means?
diagnonal but head is down
breech fetus position is?
feet first- head up
back up fetal position is?
feet down lying sideways
Fifths palpable - what does 2/5 of the head being palpable abdominaly mean?
then the widest part has descended into the pelvis and the head is “engaged”
