photo-1784052050352.jpg
Write complete obstetric examination in this page
Here is the complete obstetric examination content to write on that page:
5. Obstetric Examination:
A. GENERAL EXAMINATION
- General condition: Fair / Good
- Pallor / Icterus / Cyanosis / Clubbing / Lymphadenopathy / Oedema
- Pulse: ___/min | BP: ___/___mmHg | Temp: ___°F | RR: ___/min
- Height: ___ cm | Weight: ___ kg | BMI: ___
B. ABDOMINAL EXAMINATION
Inspection:
- Shape & size of abdomen (ovoid / globular)
- Umbilicus (central / displaced / flattened / everted)
- Linea nigra, striae gravidarum present / absent
- Foetal movements visible: Yes / No
- Scars / distension noted
Palpation:
- Uterine size corresponds to ___ weeks of gestation
- Fundal height: ___ cm (measured from pubic symphysis to fundus)
- Fundal grip (1st Leopold): Foetal part at fundus — Breech / Head
- Lateral / Umbilical grip (2nd Leopold): Foetal back on — Right / Left side
- Pawlik's grip (3rd Leopold): Presenting part — Head / Breech; engaged / not engaged
- Pelvic grip (4th Leopold): Degree of engagement — fifths palpable above brim
- Liquor: Adequate / Reduced / Excessive
- Uterine irritability / tenderness: Present / Absent
Percussion:
- Dull over uterus
- Flanks: Resonant / Dull (to rule out ascites)
Auscultation:
- Foetal Heart Sounds (FHS): Heard / Not heard
- Rate: ___ bpm (Normal: 110-160 bpm)
- FHS location: Right / Left, below / above umbilicus
- Regular / Irregular rhythm
C. PELVIC / VAGINAL EXAMINATION (if indicated)
- External genitalia: Normal
- Vagina: Healthy / discharge noted
- Cervix: Posterior / Central / Anterior; Length ___ cm; Consistency soft/firm; Effacement ___%; Os: Closed / dilated ___ cm
- Presenting part: Head / Breech; Station: ___ (relative to ischial spines)
- Membranes: Intact / Ruptured
- Pelvis: Adequate / Contracted (diagonal conjugate ___ cm)
D. SPECIAL TESTS (if applicable)
- Bishop Score: ___
- Symphysio-fundal height (SFH) graph: Appropriate / Above / Below 90th percentile
- Foetal movements count: ___ / 12 hours
E. SUMMARY / IMPRESSION:
A __-year-old G_P_L_A woman at ___ weeks of gestation by LMP/USG, with _____ presentation, _____ position, foetus in good condition / FHS heard, cervix _____, in _____ stage of labour / not in labour.
Write this neatly line by line across the ruled page. It fits well within approximately 30 lines if headings are kept compact.
Write in short procedure steps include normal findings
Here are the short procedure steps with normal findings to write on the page:
5. Obstetric Examination:
A. General Examination
- Assess general condition → Well-nourished, conscious, cooperative
- Check pallor, icterus, cyanosis, clubbing, oedema → Absent
- Vital signs → Pulse: 80/min, BP: 110/70 mmHg, Temp: 98.6°F, RR: 18/min
- Measure height & weight → BMI within normal range
B. Abdominal Examination
Inspection:
5. Observe shape → Ovoid uterus, abdomen uniformly distended
6. Check umbilicus → Central, slightly flattened
7. Note skin changes → Linea nigra & striae gravidarum present
8. Observe foetal movements → Visible
Palpation – Leopold's Manoeuvres:
9. 1st grip (Fundal): Place both hands on fundus → Soft, irregular mass = Breech at fundus
10. 2nd grip (Lateral): Palpate sides of uterus → Firm, smooth resistance on one side = Foetal back
11. 3rd grip (Pawlik's): Grasp lower uterus → Hard, round, ballottable = Head presenting, not engaged
12. 4th grip (Pelvic): Face patient's feet, press into pelvis → Confirms engagement; 2/5 palpable = engaged
13. Measure fundal height → Corresponds to period of gestation
14. Check liquor amount → Adequate
Percussion:
15. Percuss over uterus → Dull note
Auscultation:
16. Place Pinard's stethoscope / Doppler below umbilicus on foetal back side
17. Count FHS for 1 minute → 140 bpm, regular rhythm ✓
C. Vaginal Examination (only if indicated)
18. Inspect external genitalia → Normal, no lesions
19. Per vaginum → Cervix soft, posterior, closed (not in labour) / dilated ___ cm (in labour)
20. Assess presenting part → Head at station 0 / engaged
21. Check membranes → Intact
22. Assess pelvis → Clinically adequate
Summary: Uterus term size, cephalic presentation, engaged, FHS 140 bpm regular, not in active labour.
This fits neatly on one ruled page written in compact handwriting.
This is a shared conversation. Sign in to Orris to start your own chat.