Sexual History Flashcards
When should you take a sexual history?
- All new patients
- Patient that present with a problem that is likely to be sexually related
- Patient has medical or social problems that may lead to sexual difficulties
What is the definition of queer
Someone with a sexual orientation or gender identity or expression that differs from that of a cisgender, heterosexual person
What is intersex
Features congenital variations of the reproductive system
*sex chromosomes, external genitalia, or internal reproductive systems are not considered exclusively male or female
*ambiguous genitalia
What are the 5 P’s of sexual history
- Partners
- Sexual practices
- Protection from STIs
- Past STIs
- Pregnancy history and plans
What are the components of a women’s health history
- Menstrual history
- Gynecological history
- Sexual and contraceptive history
- Obstetric history
What is menarche
Age of onset of menses
How to document last menstrual period
First day of last normal menstrual period
What is the normal range of menarche
9-16
*can take a year to be regular
What is the normal interval between periods
21-35 days
*bleeding lasts 3-7 days
What is the definition of menopause
Absence of menses for 12 consecutive months
*occurs between 48-55 years old
What is amenorrhea
Absence of menses
*primary = failure to initiate a period
*secondary = had a cycle, then stopped
What is oligomenorrhea
Light or infrequent bleeding
What is menorrhagia
Excessive flow
What is metorrhagia
Intermenstrual bleeding
What is menometorrhagia
Excessive intermenstrual bleeding
What is dysmenorrhea
Pain with menses
What is polymenorrhea
Less than 1 days interval between menses
What is naegeles rule
Used to determine expected date of delivery (EDD)
*first date of LMP + 7 days - 3 months
What is gravity
Total number of pregnancies
*must include current
*she is or has been pregnant
*the pregnancy can be live birth, miscarriage, premature birth, stillbirths or an abortion
What is parity
Number of pregnancies that have ended at gestational ages >24 weeks
*viable pregnancies
How to count multi-fetal births?
- They count as one gravida and one para
Patient with a miscarriage and two live births has a GP documentation of
G: 3
P: 2
A 34 year old lady is currently pregnant. She has 4 year old twins and a 2 year old son. In this lady’s hospital file you will find gravida () and para ()
G: 3
P: 2
What is GPTPAL
G: number of pregnancies
P: number of pregnancies that have ended at gestational age >24 weeks
T: term delivers
P: preterm delivers
A: abortions
L: live births
How many week is a term
Number of births >37 weeks
How many week is a preterm pregnancy
20-37 weeks
How many week is an abortion for GPTPAL
Number of birth <20 weeks
What does G2P1001
G: two pregnancies
P:
T: one term pregnancy
P: zero pre-term pregnancy
A: zero abortions
L: one living
What is an early term baby
Born 37-38 weeks
What are full term babies
Born 39 to 40 weeks
What are late term babies
Born 41 to 41 (6/7 day)
What are post term babies
Born 42 weeks or later
Which week is the best time to deliver birth
39 weeks or later
*babies born before 39 weeks are not as developed
*born after 39 week babies have fewer poor outcomes
What is gravida
A woman who is or has been pregnant
What is primigravida
A woman who is in or who has experienced her first pregnancy
What is multigravida
A woman who has been pregnant more than once
What is Nulligravida
A woman who currently is not pregnant, nor has she ever been pregnant
What is primipara
A women who has given birth for the first time
What is mulitpara
A woman who has given birth two or more times
What is nullipara
A woman who has never had a pregnancy progress beyond the gestational age of abortion
When is the APGAR test done
At 1 and 5 minutes after birth
What does the 1 minute score determine
How well the baby tolerated the birthing process
What does the 5 minute score indicate
How well the baby is doing outside the mothers womb
What are the normal APGAR scores
7, 8, 9
*sign of good health
What should the first line of obstetric presentation include
- Age
- Gravity
- Parity
- LMP
- Estimated Gestational Age
- CC