History taking in obs and gynae

Question 1

4 things to never forget to ask about

Answer 1

LMP
cycle
contraception/sexually active
last smear

Question 2

menorrhagia

Answer 2

painful periods

Question 3

Some questions to ask about painful periods

Answer 3

type and frequency of changing sanitary product 
blood clots?
ibuprofen?
flooding? bed linen
up at night

Question 4

procidentia

Answer 4

prolapse of the uterus and cervix falling in the old women

Question 5

cystocoele

Answer 5

anterior wall prolapse

Question 6

2 types of urinary incontinence

Answer 6

urge and stress

Question 7

SCD

Answer 7

something coming down

Question 8

using SOCRATES what would you ask about pelvic pain?

Answer 8

site - pregnancy? referred? shoulder tip - ectopic

time - with period? primary dysmenorrhea, after - endometriosis

Question 9

Early pregnancy bleeding

Answer 9

heavy - miscarriage?

ectopic?

Question 10

2 contraceptive causes of ectopic pregnancy?

Answer 10

copper coil

mini pill

Question 11

4 parts of a gynae examination

Answer 11

general
abdomen for masses
PV
speculum

Question 12

2 types of speculum

Answer 12

cusos, sims

Question 13

5 findings on a vaginal examination

Answer 13

position of uterus - anteverted or retroverted
size of uterus - fruits, gestation
mobility of uterus
adnexal masses
tenderness/cervical excitation - inflammation, fluid, ectopic

Question 14

parity

Answer 14

number of pregnancies

Question 15

explain para___+___

Answer 15

1st = deliveries after 24 weeks 
2nd = deliveries before 24 weeks

Question 16

What does an obstetric history include?

Answer 16

parity
general history
gynae history, POH,, FH/genetics, children, SH

Question 17

POH

Answer 17

past obstetric history

Question 18

POH questions

Answer 18

all previous pregnancies and outcomes
date, type of delivery, weight and sex
problems - pregnancy, delivery and postnatally

Question 19

4 parts of an obstetric examination

Answer 19

general - including bp
abdominal
FH
urine - infection, glucose, protein, blood

Question 20

Describe how to measure fundal height

Answer 20

mother semi recumbent with empty bladder

measure from the fundus once palpated to symphysis pubis

Question 21

bladder full or empty when measuring fundal height?

Answer 21

empty

Question 22

What does fundal height give an indication of?

Answer 22

gestation

Question 23

Different lies of pregnancy

Answer 23

longitudinal
oblique
transverse

Question 24

The different presentations of pregnancy

Answer 24

cephalic
breech
transverse - back up or down

Question 25

What is meant by /5 palpable?

Answer 25

how much of the baby is palpable In the mothers pelvis

3/5 is said to be engaged (36 weeks)

Question 26

FH normal

Answer 26

fetal heart can be from 110-160bpm