Obstetric osce

Question 1

Abdomen inspection

Answer 1

• abdominal shape
• fetal movement
• surgical scar
• linea nigra
• striae gravidarum: stretch marks
• striae albicans: mature stretch marks

Question 2

Palpation of the abdomen

Answer 2

• all 9 quadrants lightly
• palpate for the uterus
• fetal lie
• presenting part
• is the fetus engaged?
• symphyseal- fundal height

Question 3

Complete obstetric exam

Answer 3

• urinalysis
• BP
• doppler or pinnard stethoscope
• speculum exam
• USS

Question 4

Hands

Answer 4

• pallor
• peripheral oedema
• palmar erythema
• temperature
• CRT
• radial pulse

Question 5

Face

Answer 5

• jaundice
• melasma
• oedema
• conjunctival pallor

Question 6

Intro

Answer 6

• chaperone
• do they need to wee
• position bed at 30-45 degrees
• expose xiphisternum to pubic symphysis
• ask if in any pain