History Taking Flashcards
1
Q
what’s different about an obs and gynaecologist history
A
adding in sexual historya asking about specific conditions gynae exmaination vaginal examiantion obstetric history contracpetion last smear
2
Q
what specific conditions should you ask about
A
menorrhagia-heavvy periods prolapse- uterus into vagina or rectum pelvic pain urinary symptoms bleeding- miscarriage? ectopic pregnancy
3
Q
what does the gynae examination consist of
A
abdominal
general
PV-vaginal
speculum
4
Q
what are you looking for in a PV vaginal exmaiantion
A
position of uterus
size of uterus
mobility of uterus
tenderness
5
Q
what does parity mean
A
the number of times a female has given birth
6
Q
what is a para 1
A
previous delivery of over 24 weeks
7
Q
what is a para 1+1
A
baby died before 24 weeks
8
Q
what is primigravida
A
first time being pregnant
9
Q
what should be asked for a past obstetric history
A
all previous pregnancies and outcomes date type of delivery weight and sex any complications
10
Q
how do you measure.a fundal head
A
on empty bladder
feel for head
secure tape to head
measure to pubic symphysis
11
Q
what to look for in a pregnant abdomen
A
listened fundal height lie-longditundal, breech, transverse presentation- cephalic, breech head palpable? FH over anterior shoulder
