Well Woman I & II Flashcards
Why is it important to get a list of current medications the patient is on?
identify potential teratogens if patient considering pregnancy
Why is it important to get a PSH on your patient?
prior surgical history may contribute to an non-optimal vaginal delivery and instead a C-section; myomectomies or pelvis injuries
Gravity
the number of times a women has been pregnant
Parity
number of pregnancies that led to a birth or beyond 20 weeks; remember FPAL
23 yr old who has delivered a 39 week male infant, suffered two spontaneous complete abortions at 10 and 12 weeks and has one living child. What are her G&Ps?
G3P1021
27 yr old who has one living child and has given birth to twins at 30 weeks (baby b was stillborn) and had 2 abortions. What are her G&Ps?
G3P0121
32 yr old who has had 3 deliveries at 37, 39 and 32 weeks and had a ruptured ectopic w/ subsequent salpingectomy at 13 weeks. What are her G&Ps?
G4P2113
Primagravida definition
women who is in or who has experienced her first pregnancy
Multigravida definiton
women who has been regnant more then once
Nulligravida definition
never been pregnant
Primapara
has given birth to one child
Multipara definiton
has given birth two or more times
Nullipara definition
has never given birth or who has never had a pregnancy progress beyond gestational age of abortion
Average age for female to start menarche
12 to 13 yrs
Primary amenorrhea
patient has not cycled at 16 yrs old
Average interval cycles
21 to 35 days (28 +/- 7)
Average amount of days of menses?
5 to 7 days
Mittelschmerz syndrome
midcycle ovulatory pain/cramps
Naegeles Rule
establishes estimated date of confinement (EDC); subtract 3 months and add 7 days from the last menstrual period (LMP)
If a patients last menstrual period (LMP) was 7/20/2016, when is their estimate date of confinement (EDC) using Naegeles rule?
4/27/2017; subtract 3 months and add 7 days
What is the name of the screening questionnaire utilized if a patient is suspected to be struggling with alcohol dependency?
CAGE
CAGE questions?
Have you ever tried to CUT down?
Have you ever been ANNOYED with your drinking?
Have you ever felt GUILTY about your drinking?
Do you have an “EYE opener” drink in the morning?
Dyspareunia definiton
pain with intercourse
How often does ACOG recommends clinical breast exams for women aged 20-39?
1-3 yrs
