Pre-placement

Question 1

What are common pregnancy complications?

Answer 1

• Hypertensive problems
• Preterm labour
• Problems with fetal growth
• Gestational diabetes
• Placenta praevia

Question 2

What is done in an antenatal examination?

Answer 2

• BP, urinalysis
• Inspect: distension, linea nigra
• Palpate: fundal height measurement (from symphysis bone to fundus), fetal poles (head and bottom), presenting part, engagement (is head engaged with the pelvis)
• Auscultate fetal heart - best heard over anterior shoulder

Question 3

What are common postnatal problems?

Answer 3

• Feeding issues
• Perineal care - sutures
• Ongoing health - contraception, cervical screening, medical disease

Question 4

What needs to be asked in a gynae history?

Answer 4

• Age
• Parity and gravidity
• LMP, menarche, cycle, menorrhagia, dysmenorrhea, intermenstrual bleeding, loss of blood, pain
• Dyspareunia, post-coital bleeding
• Past gynae and obstetric hx, PMH
• Any vaginal discharge
• Smear history (date of last smear) and any problems/action taken
• Contraception, HRT
• STIs, sexual health (sexually active, partner)
• Menopause
• Dysuria, frequency, haematuria, nocturia, stress or urge incontinence
• Bowel habits, vomiting, appetite change, weight loss
• Fluid intake - water, juice, no. of cups of coffee/tea, alcohol
• SH - smoker, heavy lifting, children to care for
• DH, allergies, FH

Question 5

What is a colposcopy?

Answer 5

Visualising the cervix under a microscope to help in diagnosis of pre-malignant and malignant conditions.