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OG8.2-3 | Obstetric History and Examination — SDL Guide (Part 3)

Self-Assessment: Obstetric History and Examination

The competencies assessed in OG8.2 and OG8.3 are skills competencies (SH level) — meaning that factual knowledge alone is insufficient. You must be able to demonstrate the technique in a clinical or simulated environment, and the questions below are calibrated to the level of clinical reasoning expected at that level. Before reviewing the answers, attempt each question with the reasoning that you would apply at the bedside or in an OSCE station. Self-assessment at this level is not about whether you can retrieve the correct answer from memory — it is about whether you can generate a correct clinical response from a realistic clinical scenario with incomplete or contradictory information, which is what the actual bedside examination requires of you.

Review the following clinical scenarios and self-check questions:
- A woman at 28 weeks has her SFH measured as 32 cm. List three possible explanations for this discordance and the investigation you would order.
- Describe the four Leopold's manoeuvres in sequence: what does each manoeuvre assess, and what are you feeling for?
- A woman says her LMP was 'around Diwali last year'. How would you approach dating this pregnancy when exact LMP is unavailable?
- State the GPA notation for: a woman currently pregnant, who has had two previous term deliveries (both normal vaginal), one first-trimester miscarriage, and all children living.
- At 38 weeks, you feel a soft, irregular mass in the fundus and a firm, round, ballotable mass in the lower uterine segment on third grip. What is the fetal presentation, and what is your next clinical step?