Answer Page: Obstetrics -

Postdate Pregnancy Examination

Patient Details

Physical Exam Findings

Task Answers

External Reference

Physical Examination Card

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Physical Examination Card

Patient's Details

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Opening statement

Appearance (act out during play)

Questions to ask the doctor

Questions to ask the Doctor (continued)

Expectations from the doctor

DockRoach™ Approach

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Key Concepts Here

Key concepts continued

Reading time techniques

Reading time techniques (continued)

Quickly think about task answers

Be supportive and clear when teaching

Introduce yourself and ask for the medical student's name

Reassurance and show your confidence

Physical examination

Sign post to start with introduction

Wash your hands

Procedure explanation

Expose the patient's abdomen

Sample dialogue

Review previous ultrasound reports and blood tests

Sample dialogue

Assess hand color

Sample dialogue

Sample dialogue

Abdominal inspection

Abdominal shape

Sample dialogue

Abdominal palpitation

Foetal presentation

Sample dialogue

Summarize the findings to the patient

Sample dialogue

Sign post to start the second task

cardiotocography

Fetal heart rate

Increases in the fetal heart rate

No decelerations in the trace

CTG Baseline Rate and Variability

Check understanding, and demonstrate support

Additional References:

Click on link below.

Patient Information

Explaining topic to patient

What if labour starts too soon or doesn't happen on time? (Patient.info UK)

Induced labour and Artificial rupture of the membranes (Patient.info UK)

Overdue – 6 minute read (Pregnancybirthbaby.org.au)

Overdue babies (Betterhealth.vic.gov.au)

Reliable online resources for learning on this topic.

Quick Notes

See diagrams or notes on topic

Post-term pregnancy for Medical Professionals (Patient.info UK)

Obstetric Abdominal Examination (Geekymedics.com UK)

How to Read a CTG (Geekymedics.com UK)

Cardiotocography (CTG) (Zerotofinals.com/obgyn UK)

Useful online resources for learning on this topic.

Guidelines & Articles

Diagnosis and management on topic

Postdates – Management of pregnancy beyond 41 weeks gestation (Nsw.gov.au)

Prolonged pregnancy: Care beyond 40 weeks gestation (Kemh.health.wa.gov.au)

Interpretation of CTG (Health.qld.gov.au)

Risk of adverse pregnancy outcomes of late- and postterm pregnancies in advanced maternal age: A national cohort study (Pubmed.ncbi.nlm.nih US)

Clinical Practice Guidelines (CPG) on this topic from the official website.

UpToDate

Detailed reading on topic

Postterm pregnancy

Patient education: Postterm pregnancy (Beyond the Basics)

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Tip Here:

Focus on a thorough assessment, emphasizing symphyseal-fundal height, fetal lie, and quickly evaluating the CTG for key indicators such as accelerations, decelerations, and variability.

This website has used the following for reference in preparing the contents.

Australian Medical Council (AMC) Handbook of Clinical Assessment reprinted 2018 edition

John Murtagh's General Practice 8th edition

Tally O'Conner's Clinical Examination 8th edition

Better Heath Channel

The Royal Women's Hospital Victoria Australia

Gynecology by Ten Teachers 20th edition

Obstetrics by Ten Teachers 20th edition

Paediatric Handbook 10th edition

Suggested reading material for examination preparation by the AMC

The Royal Australian College of General Practitioners

Therapeutic Guidelines (eTG)