OBGYN & GU

Question 1

What to include in introduction for a Pregnant Abdomen Exam:

Answer 1

• position patient 30-45 degrees
• “any pain?”
• “How many weeks pregnant are you”
• ” do you need to empty your bladder”- urine dip??
• Expose patient form xiphisternum to pubic symphysis and provide a blanket

Question 2

General Inspection in a Pregnant Patient:

Answer 2

• pain
• discomfort
• previous c section scars
• obvious visible foetal movement
• skin changes
  - linea nigra
  - striae gravidarum
  - striae albicans
• facial swelling/ oedema

Question 3

What should be palpated when doing a Pregnant Abdomen Exam?

Answer 3

Fundal Height
* Fundus to pubic symphysis
* measure tape facing down

Lie of Foetus:
* feel for baby head
* feel for baby bottom
* feel for baby back
* assess the lie of baby

Presentation
* cephalic/ breech

Ankles for oedema

Question 4

What do we auscultate in a Pregnant Abdomen Exam?

Answer 4

• listen to baby’s back
• place doppler between baby’s shoulder and listen for one minute
• compare with mum’s pulse

Question 5

What would be the next steps following a Pregnant Abdomen Exam?

Answer 5

• BP
• urine dip
• OGTT if 24 weeks