PART 1. READING
Exercise 1. Answer the questions.
1. What is the gynecological examination?
2. What questions must a midwife ask to provide full medical history?
3. What are the main duties of the midwife in the maternity ward?
Exercise 2. Describe the meaning of the statement: "Taking a case history is the first step in giving care".
Exercise 3. Read the text and say if the following statements are true (T) or
false (F).
1. The gynecological examination is some procedures aimed to assess the woman?s health.
2. A gynecological examination can be broadly divided into three parts: taking a case history, physical examination and other tests and diagnostic investigations.
3. The gynecologist or a midwife questions a woman about reproductive health.
4. The gynecological questions are about the main and secondary complaints, menstrual history, pregnancy, childbirth.
5. Gynecological physical examination includes the abdominal examination, inspection of the external genitalia, pelvic examination, internal vaginal examination, bimanual palpation of the uterus.
6. A maternity hospital or unit needs to good equipment to provide the highest degree of care at all stages of during and after pregnancy.
7. The specialized medical devices those are not essential in any maternity hospital.
8. All instruments used in maternity hospitals a must be sterile and disposable.
GENERAL MANIPULATIONS AND MEDICAL EQUIPMENT
1. Gynecological examination. The gynecological examination is some procedures aimed to assess the woman?s reproductive health. A gynecological
examination can be broadly divided into three parts: taking a case history, physical examination and other tests and diagnostic investigations.
Taking a case history. The gynecologist or a midwife asks questions a woman about her main complaint, which is usually the reason why she has come for a gynecological consultation. The questions usually include general health, medical and gynecology questions. The general health and medical questions are about past medical conditions, chronic conditions, surgical history, general case history, lifestyle, drugs, mental health, and family history. The gynecological questions are about the main and secondary complaints, menstrual history, sexual activity, pregnancy, childbirth and labour, family history.