A physical examination was performed on a 28-year old pregnant female who is Rh negative. The examination found the patient to be in overall good health with normal vital signs. Her pregnancy was at 28 weeks gestation with a single live fetus in cephalic presentation and a fetal heart rate of 142 beats per minute. The patient has a history of delivering a baby during her second pregnancy who developed anemia and jaundice and died after 10 days.

1. Examination
of Rh negative pregnancy
Taruna
19112

2. GENERAL PHYSICAL EXAMINATION
• Patient is calm, conscious, cooperative, well
oriented to time place and person.
• lying comfortably on bed.

3. VITALS
• Pulse-
74/min, regular, good volume, no radioradial and
radiofemoral delay, all peripheral pulses present, vessel
wall not palpable.
• Respiratory rate-
16/min abdominothoracic.
• B.P.-
122/76mm of Hg, right arm, supine position by
auscultatory method.
• Patient is afebrile to touch.

4. ANTHROPOMETRY
• Weight before pregnancy –49kg
• Weight after pregnancy –59kg
• Weight gain during pregnancy –10 kg
• Height-5’’2
• BMI-23.94 kg/m2

5. • Pallor- absent
• Icterus- absent
• Cyanosis- absent
• Clubbing- absent
• Lymphadenopathy- absent
• Pedal edema- absent
• JVP- not raised

6. HEAD TO TOE EXAMINATION
• Head, hair, scalp, face- within normal limits.
• Eyes- normal vision, pupils reactive to light, no discharge.
• Ears, nose- within normal limits.
Oral cavity examination –
• No angular stomatitis and glossitis
• No cheilitis
• No foci of infection
• No dental caries
• Tonsils are normal
Thyroid Examination –
Thyroid is non palpable

7. • Breast Examination –
• Bilaterally symmetrical
• . No cracks/ fissures
• . No retraction or dimpling
• . Nipples and areola are healthy
• . No change in colour of overlying skin
• . No dilated vessels
• . No mass palpable

8. • Chest-
symmetrical, moving symmetrically with respiration, no scar
marks.
• Abdomen –
no scar marks ,normal Bowel sounds present.
• Extremities-
within normal limits.

9. SYSTEMIC EXAMINATION
• CVS-
within normal limits, S1 and S2 heard with no added
sounds.
• Respiratory system-
normal vesicular breath sounds heard. No added sounds.
• CNS-
within normal limits.
• GIT-
within normal limits.

10. OBSTETRIC EXAMINATION :
INSPECTION
• Size- enlarged.
• Shape- globular.
• Umbilicus- central and everted.
• Linea nigra and striae gravidarum seen.
• Flanks does not appear to be full.
• no venous prominence or visible pulsation.
• Hernia orifices- normal.

11. PALPATION
• Local rise of temperature- none
• Tenderness- none
• Abdominal girth-70cm.
• Fundal height- 28 weeks.
• Symphysio fundal height- 28cm.
• Fetal height corresponds to the period of
gestation.
• Uterus is relaxed and non tender.

12. OBSTETRIC GRIPS
• Fundal grip-
soft, broad, non- ballotable mass felt, suggestive of breech.
• Lateral grip-
smooth, hard, resistant surface felt on right side, suggestive
of back. Small , irregular, knob like structures felt on left
side suggestive of limbs.
• 1st Pelvic grip-
smooth ,hard ballotable mass suggestive of head.
• 2nd Pelvic grip-
approximation of fingers, suggesting no engagement of
head.

13. AUSCULTATION
• Fetal heart sound- present
• Site- right spinoumbilical line
• Rate- 142/min.
• Rythym- regular.

14. SUMMARY
⚫28 years old patient with G3 P2+0+0+1 with
gestational age of 28 weeks and a single live
fetus in cephalic presentation,uterus relaxed,
fetal heart sounds present with heart rate of
142/min at right spinoumbilical line. is Rh
negative female with history of delivery of baby
having anemia and jaundice during her second
pregnancy who died after 10 days of birth.