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Introduction http://www.youtube.com/watch?v=nja- UB7WnHs&feature=related http://www.youtube.com/watch?v=nja- UB7WnHs&feature=related
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ANTEPARTAL FETAL ASSESSMENT Developed by D. Ann Currie, R.N.,M.S.N. 2012
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ANTEPARTAL FETAL ASSESSMENT TERMINOLOGY ULTRASOUND LABORATORY TESTS FETAL MOVEMENT COUNT BIOPHYSICAL PROFILE-(BPP) NONSTRESS TEST-(NST) CONTRACTION STRESS TEST-(CST)
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ANTEPARTAL FETAL ASSESSMENT AMNIOTIC FLUID INDEX-(AFI) DOPPLER FLOW STUDIES PLACENTA LOCATION &GRADING AMNIOCENTESIS CHORIONIC VILLUS SAMPLING-(CVS) PERCUTANEOUS UMBILICAL BLOOD SAMPLING- (PUBS)
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ANTEPARTAL FETAL ASSESSMENT FETOSCOPY FETAL FIBRONECTIN OTHER
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NURSE’S ROLE WITH ANTEPARTAL FETAL ASSESSMENT KNOWLEDGE OF THE TESTS : INDICATIONS/USES OF TEST MEANING OF THE RESULTS OF THE TEST HOW PROCEDURE IS DONE. WHAT TO PREPARE PRIOR TO TEST WHAT TO DO DURING &AFTER TEST
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NURSE’S ROLE RISKS/COMPLICATIONS WHEN TEST WILL BE PREFORMED DURING PREGNANCY CLIENT EDUCATION CLIENT ADVOCATE SUPPORT CLIENT
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ULTRASOUND WHAT IS AN ULTRASOUND? & HOW DOES IT WORK? TYPES-TRANSVAGINAL & TRANSABDOMINAL USES NURSE’S ROLE WITH ULTRASOUND
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ULTRASOUND DX TEST USES 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
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Ultrasound
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ULTRASOUND-INDICATIONS AND/OR USES POSITIVE DX OF PREGNANCY GESTATIONAL AGE VIABILITY FETAL GROWTH FETAL PRESENTATION MULTIPLE GESTATIONS BPP WITH AMNIOCENTESIS, CVS,or PUBS. AFI PLACENTA GRADING
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CONT.ULTRASOUND DX OF ETOPIC PREGNANCY, HYDATIDIFORM MOLE,FETAL ANOMALY, UTERINE ANOMALY,CAUSE OF VAGINAL BLEEDING OTHER
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NURSE’S ROLE WITH ULTRASOUND KNOW THE PROCEDURE AND PURPOSE CLIENT EDUCATION CLIENT ADVOCATE ANSWER QUESTIONS AND CONCERNS ASSESSMENT OF CLIENT PREPARATION OF CLIENT SUPPORT
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LABORATORY TESTS ALPHA- FETOPROTEIN MATERNAL SERUM ALPHA- FETOPROTEIN- (MSAFP) Quad SCREENING- MSAFP,HCG, diametric inhibin-A, &ESTRIOL FETAL FIBRONECTIN L/S RATIO PHOSPHATIDYL- GLYEROL-(PG) AMNIOCENTSIS SAMPLE STUDIES GENETIC STUDIES
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FETAL MOVEMENT COUNT NONVASIVE COST-EFFECTIVE CAN BE USED IN FETAL SURVEILLANCE IN LOW RISK & HIGH RISK PREGNANCIES.. DONE BY CLIENT DOCUMENT BY USE OF A LOG
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FETAL MOVEMENT COUNT SEVERAL METHODS- CARDIFF METHOD, DAILY FETAL MOVEMENT RECORD (DFMR),or OTHER. NURSE’S ROLE IN DFMC.
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BIOPHYSICAL PROFILE (BPP) FETAL HEART RATE FETAL MOVEMENT FETAL BREATHING FETAL TONE AMNIOTIC FLUID INDEX/VOLUME PLACENTA GRADING
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NONSTRESS NST DX TEST DONE WITH EXTERNAL ELECTRIC FETAL MONITOR FHR ACCELERATIONS WITH FM REACTIVE STRIP-REASSURING-15-20 BEAT ACCELERATION IN FHR ABOVE BASELINE WITH FM.FHR-110-160@BASELINE,AVE VARIBILITY.
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Reactive NST
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NST NONREACTIVE STRIP-NONREASSURING-NO ACCELERATIONS WITH FM,ABSENT OR MINIMAL VARIBILITY. CAN BE USED IN PRETERM PREGNANCIES. CAN BE DONE OUTPATIENT OR CLINICS.
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Nonreactive NST
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CONTRACTION STRESS TEST- CST DONE 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
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Positive CST- Nonreassuring FHR Pattern
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CST NEGATIVE 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.
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Negative CST
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AMNIOCENTESIS INVASIVE PROCEDURE USED TO DX GENETIC,CHROMOSOMAL, OR BIOCHEMICAL PROBLEMS,OR LUNG MATURITY. DONE WITH US. STERILE TECHNIQUE USED. RISKS/SIDE EFFECYS NURSE’S ROLE.
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Aminocentesis
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CHORIONIC VILLUS SAMPLING- CVS INVASIVE PROCEDURE DONE WITH US. USED TO DX GENETIC,METABOLIC,& DNA ABNORMALITIES 1ST TRIMESTER RISKS NURSE’S ROLE
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Chorioic Villus Sampling-CVS vs Aminocentesis
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PERCUTANEOUS UMBILICAL BLOOD SAMPLING-PUBS INVASIVE PROCEDURE DONE WITH US TO OBTAIN FETAL BLOOD. USED TO DX VARIOUS CONDITIONS. RISKS NURSE’S ROLE.
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FETOSCOPY INVASIVE PROCEDURE USED TO DIRECTLY OBSERVE FETUS AND/OR OBTAIN BLOOD OR SKIN SAMPLES. ALSO SOME SURGERIES CAN BE DONE / RISKS NURSE’S ROLE
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OTHER
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QUESTIONS
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THANK YOU http://www.youtube.com/watch?v=UPPbnB5Gs4s&fea ture=related http://www.youtube.com/watch?v=UPPbnB5Gs4s&fea ture=related
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