Obstetrics Basics

Question 1

What is the general history for obstetrics?

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Answer 1

WIP, PC, HPC, SAS, IICE, COC, PMH, DH, FH, SH and ICE if not covered

Question 2

What is the HPC complaint made up of ?

Answer 2

4PAB
Pregnancy: problems/concerns; if over 20 weeks any fetal movements, tightening, contractions,
PV Bleeding, discharge, pain: pelvic,abdominal, dysmenorrhea, are they sexually active if so dyspaenuria (superficial/deep); ABs: postcoital Bleeding and IMB

Question 3

What are the 3 types of associated symptoms you should ask about ?

Answer 3

1. BU: bowels and urinary symptoms, 2. Nausea and Vomiting, 3. Breast tenderness and fatigue

Question 4

What does COC ?

Answer 4

Current pregnancy, previous obstetric history and cervical smear

Question 5

What are the questions you must ask for current pregnancy ? (5)

Answer 5

1. 1st day of LMP and establish accuracy of dates; 2. Scans/investigations; 3. Rhesus Status, 4. Planned type delivery, 5. Maternal illness/problems

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Question 6

What causes inaccuracy of dates ?

Answer 6

1. Irregular cycles
2. long cycles
3. Contraception

Question 7

Why do ask about 1st day of LMP ?

Answer 7

EDD

Question 8

What 3 things must you ask about in the current pregnancy that make LMP inaccurate ?

Answer 8

1. Regularity of cycles
2. How long they last ?
3. Contraception

Question 9

What are the questions that you must ask about for previous obstetric history ? (5)

Answer 9

1. Type of delivery
2. Complications during labour
3. Gestation
4. Birthweight
5. Miscarriages/terminations

Question 10

How do you calculate EDD from LMP ?

Answer 10

EDD: LMP + 9 months and 7 days

Question 11

What must you include in the PMH ?

Answer 11

Pelvic surgery and any gynaecological investigations

Question 12

What must you include in family history ?

Answer 12

Any family conditions
Any problems during pregnancy that run in your family
Any congenital illnesses that run in your family