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Flashcards in Obs history Deck (22)
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1

Questions for presenting complaint in Obs

Onset
Duration
Severity
Course
Intermittent or continuous
Precipitating
Relieving
Associated factors
Previous episodes

2

Key obstetric symptoms to ask about

Nausea and vomitting
Reduced fetal movements
Vaginal bleeding
Urological symptoms
Abdo pain
Vaginal discharge
Headache, visual disturbance, epigastric pain
Itching

3

Why ask about N and V

Start around 5 weeks, finish by 20 weeks.

4

When does the baby start moving

16 to 24 weeks

5

Questions to ask about vaginal discharge

Changes
Volume
Colour
Consistency
Smell

6

Describe preeclampsia symptoms

Headache
Oedema
Epigastric tenderness
Visual disturbance
Reduced fetal movements

7

Questions about current pregnancy

Gestation
Scan results
Have they opted for screening?
Did they take folic acid?
Planned mode of delivery?
Medical illness?
Vaccinations?
MHx

8

Questions for previous obstetric history

Gravidity and Parity
Term Pregnancies
Still Birth
Miscarriage
Termination of pregnancy
Ectopic

9

Define gravidity

The number of times a woman has been pregnant regardless of the outcome

10

Define Parity

The total number of pregnancies which exceeded 24 weeks

11

Questions to ask about previous term pregnancies

Gestation at delivery
Birth weight
Mode of delivery
Complications
Assisted reporduction

12

Questions to ask about non successful pregnancies

Gestation
Management

13

Questions for gynae history

Cervical screening
Previous gynae issues

14

Questions for PMH

Diabetes
Hypothyroid
Epilepsy
vte
Genetic disease

15

Surgical history questions

Abdominal or pelvic surgery
C section

16

Drug history questions

Regular medications
Contraception
Pregnancy meds
OTC
Allergies

17

Teratogenic common medicatiosn

ACE I
Sodium valproate
Methotrexate
Retinoids
Trimethoprim

18

Common medications taken during pregnancy

Folic acid
Oral iron
Antiemetics
Antacids
Aspirin

19

Things to ask about in family history

Inherited genetic conditions
Type 2 diabetes
Preeclampsia

20

Things to ask about in social history

Smoking
Alcohol
Recreational drugs
Diet and weight
Home situation
Occupation
Domestic abuse

21

Systemic enquiry obstetric history

Fever
Weight loss
Dyspnoea
Abdo pain
Vomitting
Urinary symptoms
Pelvic pain
Linea nigra

22

What are the key sections of an obstetrics history

HPC
Obstetric symptoms
Current pregnancy
Previous obstetric history
Gynae history
PMH
Surgical history
DH
FH
SH