Question

Chapter 31 Assisting in Obstetrics and Gynecology 653 call from a female patient who is experiencing side effects from oral contracep- 3 You receive a telephone ces. What symptoms will you ask about? e patient do to relax the abdominal muscles prior to the insertion of the vaginal speculum? 4. What can the patient do to relax the abdo 5. Explain a maturation index. 6. Explain the difference between perimenopause and menopause. What are the typical discomforts re- ported by women at this time? How are they treated?

Answer 1

Ans 3 we should ask for following symptoms :-

Acne (skin change)

Edema

Breakthrough bleeding

Headache and nausea

Mood swings

Breast tenderness

Ans4)

We ask the patient to lie supine and flexion at the knee joint abduction and extention of thigh, and extend the thigh towards the chest(LITHOTOMY POSITION)

Ans5) this index tells about ration of vaginal cell type (parabasal, intermediate and superficial)

Objectives of this index to detect hormonal effects to menopausal and premenopausal women.

Ans6) perimenopausal phase is transition phase between mensuration and menopause while in menopause there is stoppage of the menstrual cycle around the age of 50

Hot flashes, breast tenderness, mood swings, hirsutism are discomfort experienced by these women.. Proper counselling and Hormone replacement therapy is given to treat these symptom

ANS 2) LITHOTOMY POSITION