Obs history Flashcards

1
Q

Questions for presenting complaint in Obs

A
Onset
Duration
Severity
Course
Intermittent or continuous
Precipitating
Relieving
Associated factors
Previous episodes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Key obstetric symptoms to ask about

A
Nausea and vomitting
Reduced fetal movements
Vaginal bleeding
Urological symptoms
Abdo pain
Vaginal discharge
Headache, visual disturbance, epigastric pain
Itching
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Why ask about N and V

A

Start around 5 weeks, finish by 20 weeks.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

When does the baby start moving

A

16 to 24 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Questions to ask about vaginal discharge

A
Changes
Volume
Colour
Consistency
Smell
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Describe preeclampsia symptoms

A
Headache
Oedema
Epigastric tenderness
Visual disturbance
Reduced fetal movements
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Questions about current pregnancy

A
Gestation
Scan results
Have they opted for screening?
Did they take folic acid?
Planned mode of delivery?
Medical illness?
Vaccinations?
MHx
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Questions for previous obstetric history

A
Gravidity and Parity
Term Pregnancies
Still Birth
Miscarriage
Termination of pregnancy
Ectopic
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Define gravidity

A

The number of times a woman has been pregnant regardless of the outcome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Define Parity

A

The total number of pregnancies which exceeded 24 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Questions to ask about previous term pregnancies

A
Gestation at delivery
Birth weight
Mode of delivery
Complications
Assisted reporduction
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Questions to ask about non successful pregnancies

A

Gestation

Management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Questions for gynae history

A

Cervical screening

Previous gynae issues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Questions for PMH

A
Diabetes
Hypothyroid
Epilepsy
vte
Genetic disease
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Surgical history questions

A

Abdominal or pelvic surgery

C section

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Drug history questions

A
Regular medications
Contraception
Pregnancy meds
OTC
Allergies
17
Q

Teratogenic common medicatiosn

A
ACE I
Sodium valproate
Methotrexate
Retinoids
Trimethoprim
18
Q

Common medications taken during pregnancy

A
Folic acid
Oral iron
Antiemetics
Antacids
Aspirin
19
Q

Things to ask about in family history

A

Inherited genetic conditions
Type 2 diabetes
Preeclampsia

20
Q

Things to ask about in social history

A
Smoking
Alcohol
Recreational drugs
Diet and weight
Home situation
Occupation
Domestic abuse
21
Q

Systemic enquiry obstetric history

A
Fever
Weight loss
Dyspnoea
Abdo pain
Vomitting
Urinary symptoms
Pelvic pain
Linea nigra
22
Q

What are the key sections of an obstetrics history

A
HPC
Obstetric symptoms
Current pregnancy
Previous obstetric history
Gynae history
PMH
Surgical history
DH
FH
SH