Pregnant Women Examination

Question 1

Menstrual history

Answer 1

Number of days of menstrual loss
Number of days per cycle
1st day of last menstrual period
Normal period or not
Number of days with heavy menstrual flow
Bleeding between periods ?
Painful periods ? Drugs used ?
Premenstrual syndrome ?
Menarche age
Bleeding after sexual intercourse ?
Contraception used

Question 2

Questions asked to post or perimenopausal women

Answer 2

Are you still having periods
Last period date
Bleeding since last period

Question 3

What is post menopausal bleeding

Answer 3

Bleeding 6 months after last period

Question 4

History of vaginal discharge

Answer 4

If any :
Color
Smell
Amount
Blood
Vulval itch
Itching anywhere else
Symptoms in partner
Presence of warts

Question 5

History for vaginal prolapse and uterovaginal prolapse

Answer 5

Feeling of something coming down
Feeling o away overnight or when laying down
Urine frequency
Urgency
Incontinence
Hematuria

Question 6

Obstetric history

Answer 6

Number of time pregnant
Weight of babies
Age of first pregnancy
Age of children
Difficulty getting pregnant

Question 7

General exam

Answer 7

General illness status
Gait
Demeanor
Responsiveness
Height and weight

Question 8

Abdominal exam

Answer 8

Inspection - scars, mass suprapubic,
Palpation - mass suprapubic where hand cant get below , consistency of mass (hard if fibroid, soft if pregnant ), tenderness ,
Percussion and auscultation less important

Question 9

Pelvic exam

Answer 9

Vaginally or rectal
Inspection
Internal digital exam with index and middle finger
Speculum - Swabs of discharge , inspection

Question 10

Obstetric hx

Answer 10

Welcome or not pregnancy
First day of last menstrual
Menstrual pattern before pregnancy
Contraceptive
Fetal movement in late pregnancy