PHYSICAL EXAM of THE PREGNANT WOMAN

Question 1

Rules for breast exam

20 yrs old and above

20 to 40 years old

40

Answer 1

20 - self breast exam 1 week after menses

20-30 CBE (by doctor) every 3 years

40 CBE annually + mammography

Question 2

FUNDIC HEIGHT starts showing up at

Answer 2

20-34 weeks

16-18 weeks sa revalida review

Question 3

Weight and Height alin and di mo dapat ma-forget?

Answer 3

Current

and Pre-pregnancy weight

Question 4

Why always need mo paihiin si patient?

Answer 4

Para accurate lahat ng findings during PE

hindi accurate pag puno ang bladder

Question 5

At 20 weeks (5 months), where is the fundus?

Answer 5

Umbilicus –> tape measure hanggang symphisis pubis = FUNDIC HEIGHT

Question 6

When ka pwede mag-LEOPOLD’S MANEAVER?

Answer 6

28-30 weeks
7 months

pag 7 months diba pwede nang manganak ng pre-term

Question 7

Leopold’s Maneauver

LM1,2,3,4

Answer 7

LM1 (Fundal grip) - head or pwet

LM2 (Umbilical Grip) - fetal back importance: dito ka makikinig ng fetal heart tones

LM3 (Pawlick’s Grip) - Presentation (breech/cephalic)

LM4 (Pelvic Grip) – extension, is it flexed? extended?

**hindi ginagawa sa 1st trimester usually pag malaki na tiyan na ng mommy

Question 8

Fetal Quickening is seen in

Answer 8

Multigravid - 18 to 20 weeks

Primigravid - 18 to weeks (mas late ng 2 weeks)

Question 9

PELVIC EXAM

Answer 9

External Genitalia - lesions, scars

pubic hair

Question 10

Mortal Sin for Speculum Exam and IE

Answer 10

PLACENTA PREVIA - prone to bleeding cos the placenta is at the cervical os

Virgin patient (so always ask for coitarche)

Always think of erythema, lesions + BD (bleeding + discharge)

Question 11

Internal Exam

Answer 11

CERVIX - SLOC (soft/firm, lesions, open/closed/cervical motion tenderness)

UTERUS ADNEXA (PSMCT uterine position, size, mobility, consistency, tenderness)

Question 12

FHT things to remember

Answer 12