REPRO

Question 1

Prior to Obs Abdo Exam

Answer 1

• urine sample
• mother bp

Question 2

Prior to Obs Abdo Exam

Answer 2

a

Question 3

INSPECTION for Ob Abdo

Answer 3

• scarring
• striae gravidarum
• linea nigra
• uteral swelling - EoBed

Question 4

Causes of uteral swelling

Answer 4

ocarian cysts
uterine fibroids
endometrial cancer
POCS

Question 5

PALPATION for Ob Abdo

Answer 5

• Assess fetal poles
• Find lie
• Find fundus

Question 6

Measuring Fundal Height

Answer 6

After 20w
- highest point to top of pubic symphysis

fundal height = gestation in weeks +/- 3cms

Question 7

Feel for presenting Part

Answer 7

Both hands at uterus above pubic bone, ballot head gently or note if not possible

Question 8

AUSCULTATION for Ob Abdo

Answer 8

Using a doppler, listen over baby’s ant. shoulder

Question 9

Order of exam. for Pelvic Bimanual Exam

Answer 9

EXPLAIN
exposure
INSPECTION
PALPATION

Question 10

POSITIONING for Pelvic Bimanual Exam

Answer 10

lie on back; knees bent and legs apart on leg rest

• ensure appt. lighting, covering for modesty and comfort

+ CHAPERONE

Question 11

INSPECTION for Pelvic Bimanual Exam

Answer 11

• hair distribution
• skin abn
• discharge
• swelling
• prolapse = cough

Question 12

PALPATION for Pelvic Bimanual Exam

Answer 12

• lubricate index and middle finger
• check for tenderness
• insert; feel for cervix
• post. fornix and lift uterus anteriorly
• place hand on lower abdo and press to meet fingers
• note mobility and size of uterus
• assess lateral fornices for adnexae

Question 13

Speculum Examination: Commenting on Cervix

Answer 13

Os
Colour
Discharge