introduction ub7wnhs&feature=related ub7wnhs&feature=related
TRANSCRIPT
![Page 1: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/1.jpg)
Introductionhttp://www.youtube.com/watch?v=nja-UB7W
nHs&feature=related
![Page 2: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/2.jpg)
ANTEPARTAL FETAL ASSESSMENT
Developed by D. Ann Currie, R.N.,M.S.N.2012
![Page 3: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/3.jpg)
![Page 4: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/4.jpg)
ANTEPARTAL FETAL ASSESSMENTTERMINOLOGYULTRASOUNDLABORATORY TESTSFETAL MOVEMENT COUNTBIOPHYSICAL PROFILE-(BPP)NONSTRESS TEST-(NST)CONTRACTION STRESS TEST-(CST)
![Page 5: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/5.jpg)
ANTEPARTAL FETAL ASSESSMENTAMNIOTIC FLUID INDEX-(AFI)DOPPLER FLOW STUDIESPLACENTA LOCATION &GRADINGAMNIOCENTESISCHORIONIC VILLUS SAMPLING-(CVS)PERCUTANEOUS UMBILICAL BLOOD
SAMPLING-(PUBS)
![Page 6: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/6.jpg)
ANTEPARTAL FETAL ASSESSMENTFETOSCOPYFETAL FIBRONECTINOTHER
![Page 7: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/7.jpg)
NURSE’S ROLE WITH ANTEPARTAL FETAL ASSESSMENT
KNOWLEDGE OF THE TESTS :INDICATIONS/USES OF TESTMEANING OF THE RESULTS OF THE TESTHOW PROCEDURE IS DONE.WHAT TO PREPARE PRIOR TO TESTWHAT TO DO DURING &AFTER TEST
![Page 8: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/8.jpg)
NURSE’S ROLERISKS/COMPLICATIONSWHEN TEST WILL BE PREFORMED
DURING PREGNANCYCLIENT EDUCATIONCLIENT ADVOCATESUPPORT CLIENT
![Page 9: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/9.jpg)
![Page 10: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/10.jpg)
![Page 11: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/11.jpg)
ULTRASOUNDWHAT IS AN ULTRASOUND? & HOW DOES
IT WORK?TYPES-TRANSVAGINAL &
TRANSABDOMINALUSESNURSE’S ROLE WITH ULTRASOUND
![Page 12: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/12.jpg)
ULTRASOUNDDX TESTUSES HIGH FREQUENCY SOUND WAVES
EXCEEDING 20,000 CYCLES PER SECOND TO PRODUCE AN IMAGE.US USES A TRANSDUCER TO TURN SOUND WAVES INTO AN ELECTRONICAL SIGNAL
SONOGRAM
![Page 13: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/13.jpg)
Ultrasound
![Page 14: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/14.jpg)
ULTRASOUND-INDICATIONS AND/OR USES
POSITIVE DX OF PREGNANCY
GESTATIONAL AGE
VIABILITYFETAL GROWTHFETAL
PRESENTATION
MULTIPLE GESTATIONS
BPPWITH
AMNIOCENTESIS, CVS,or PUBS.
AFIPLACENTA
GRADING
![Page 15: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/15.jpg)
CONT.ULTRASOUNDDX OF ETOPIC
PREGNANCY, HYDATIDIFORM MOLE,FETAL ANOMALY, UTERINE ANOMALY,CAUSE OF VAGINAL BLEEDING
OTHER
![Page 16: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/16.jpg)
NURSE’S ROLE WITH ULTRASOUNDKNOW THE
PROCEDURE AND PURPOSE
CLIENT EDUCATION
CLIENT ADVOCATE
ANSWER QUESTIONS AND CONCERNS
ASSESSMENT OF CLIENT
PREPARATION OF CLIENT
SUPPORT
![Page 17: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/17.jpg)
LABORATORY TESTSALPHA-
FETOPROTEINMATERNAL
SERUM ALPHA- FETOPROTEIN-(MSAFP)
Quad SCREENING-MSAFP,HCG , diametric inhibin-A, &ESTRIOL
FETAL FIBRONECTIN
L/S RATIOPHOSPHATIDYL-
GLYEROL-(PG)AMNIOCENTSIS
SAMPLE STUDIESGENETIC
STUDIES
![Page 18: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/18.jpg)
FETAL MOVEMENT COUNTNONVASIVECOST-EFFECTIVECAN BE USED IN FETAL SURVEILLANCE IN
LOW RISK & HIGH RISK PREGNANCIES..DONE BY CLIENTDOCUMENT BY USE OF A LOG
![Page 19: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/19.jpg)
FETAL MOVEMENT COUNTSEVERAL METHODS- CARDIFF METHOD ,
DAILY FETAL MOVEMENT RECORD (DFMR),or OTHER.
NURSE’S ROLE IN DFMC.
![Page 20: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/20.jpg)
BIOPHYSICAL PROFILE (BPP)FETAL HEART RATEFETAL MOVEMENTFETAL BREATHINGFETAL TONEAMNIOTIC FLUID INDEX/VOLUMEPLACENTA GRADING
![Page 21: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/21.jpg)
![Page 22: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/22.jpg)
NONSTRESS NSTDX TEST DONE WITH EXTERNAL ELECTRIC
FETAL MONITORFHR ACCELERATIONS WITH FMREACTIVE STRIP-REASSURING-15-20 BEAT
ACCELERATION IN FHR ABOVE BASELINE WITH FM.FHR-110-160@BASELINE,AVE VARIBILITY.
![Page 23: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/23.jpg)
Reactive NST
![Page 24: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/24.jpg)
NSTNONREACTIVE STRIP-NONREASSURING-
NO ACCELERATIONS WITH FM,ABSENT OR MINIMAL VARIBILITY.
CAN BE USED IN PRETERM PREGNANCIES.
CAN BE DONE OUTPATIENT OR CLINICS.
![Page 25: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/25.jpg)
Nonreactive NST
![Page 26: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/26.jpg)
![Page 27: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/27.jpg)
CONTRACTION STRESS TEST-CSTDONE WITH EXTERNAL FETAL MONITOR &
STIMULATION OF UTERUS BY VARIOUS METHODS.
POSITIVE TEST- NONREASSURING- 3 UC IN 10 MIN. PERIOD, LATE DECELERATIONS WITH UC, NO ACCELERATIONS OF FHR WITH UC OR FM, ABSENT OR MIN VARIABLITY
![Page 28: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/28.jpg)
Positive CST- Nonreassuring FHR Pattern
![Page 29: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/29.jpg)
CSTNEGATIVE TEST-REASSURING-NO LATE
DECELERATIONS WITH UC, FHR 110-160, AVE. VARIABILITY,& FHR ACCELERATIONS WITH FM AND UC.
USUALLY DONE IN HOSPITAL.MAY CAUSE LABOR.
![Page 30: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/30.jpg)
Negative CST
![Page 31: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/31.jpg)
AMNIOCENTESISINVASIVE PROCEDURE USED TO DX
GENETIC ,CHROMOSOMAL , OR BIOCHEMICAL PROBLEMS,OR LUNG MATURITY.
DONE WITH US.STERILE TECHNIQUE USED.RISKS/SIDE EFFECYSNURSE’S ROLE.
![Page 32: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/32.jpg)
Aminocentesis
![Page 33: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/33.jpg)
![Page 34: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/34.jpg)
CHORIONIC VILLUS SAMPLING-CVS
INVASIVE PROCEDURE DONE WITH US.USED TO DX GENETIC,METABOLIC,& DNA
ABNORMALITIES1ST TRIMESTERRISKSNURSE’S ROLE
![Page 35: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/35.jpg)
Chorioic Villus Sampling-CVS vs Aminocentesis
![Page 36: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/36.jpg)
![Page 37: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/37.jpg)
PERCUTANEOUS UMBILICAL BLOOD SAMPLING-PUBS
INVASIVE PROCEDURE DONE WITH US TO OBTAIN FETAL BLOOD.
USED TO DX VARIOUS CONDITIONS.RISKSNURSE’S ROLE.
![Page 38: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/38.jpg)
FETOSCOPYINVASIVE PROCEDURE USED TO DIRECTLY
OBSERVE FETUS AND/OR OBTAIN BLOOD OR SKIN SAMPLES. ALSO SOME SURGERIES CAN BE DONE /
RISKSNURSE’S ROLE
![Page 39: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/39.jpg)
OTHER
![Page 40: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/40.jpg)
QUESTIONS
![Page 41: Introduction UB7WnHs&feature=related UB7WnHs&feature=related](https://reader037.vdocuments.us/reader037/viewer/2022110103/56649eb25503460f94bb94a5/html5/thumbnails/41.jpg)
THANK YOUhttp://www.youtube.com/watch?v=UPPbnB5
Gs4s&feature=related