Obstetric History

Question 1

Obstetric History (4)

Answer 1

Name
Age
Gestation
Gravidity and parity: miscarriages/terminations/stillbirths/other losses

Question 2

Each pregnancy (8)

Answer 2

Antenatal/intrapartum/postnatal complications
Age
Weight
Gestation at delivery
How is child now?
Blood relation to partner / same as previous pregnancy
Mode of delivery

Question 3

Bloods and scans

Answer 3

Blood test - infection syphilis, HIV; rubella immunity; resus status
Scans - 12 week (dates pregnancy,viability)20 weeks (anomaly scan)

Question 4

Plan of care at booking

Answer 4

PC - HPC - Pain
Pre-eclampsia - headache, nausea, vomiting, oedema, blurred vision/flashing lights/epigastric pain

Diabetic - glucose levels

Question 5

Systems enquiry (10)

Answer 5

Urinary - dysuria, frequency haematuria, loin tenderness, incontinence
GI - appetite, nausea, vomiting, diarrhoea, constipation, PR bleeding, weight loss
CVS - chest pain (pleuritic), dyspnoea, palpitations
Resp - cough, sputum, wheeze
MSK - bone or joint pain, difficulty mobilising
PMH
Prev surgery
DH
SH
FH