Amniocentesis
This is the most common anatomical route used to insert the amniocentesis needle
What is trans abdominal approach?
What is a BPP
A Biophysical Profile (BPP) is an assessment of fetal well-being that combines a non-stress test with an ultrasound to evaluate five key variables
What is CVS and why is it done?
CVS stands for Chorionic Villus Sampling, it’s a prenatal test used to check for genetic and chromosomal disorders, like Down syndrome or cystic fibrosis.
What does an NST primarily monitor?
The fetal heart rate in response to fetal movement.
What is a fetal kick count?
The maternal practice of tracking fetal movements expecting 10 kicks within 2 hours as a sign of fetal well-being.
This imaging method acts like the GPS navigator during an amniocentesis, making sure the needle stays on its best behavior.
What is ultrasonography (ultrasound)?
What are the 5 variables the BPP test measures?
What is Fetal heart rate, Fetal breathing movements, Fetal tone, Amniotic fluid volume, and Fetal movement (gross body movements)
What is the purpose of giving Rhogam after a CVS procedure, and which patients would need it?
Rhogam is given after CVS to prevent Rh sensitization, which can happen if fetal blood mixes with the mother’s blood during the procedure. It is needed for patients who are Rh-negative to protect future pregnancies.
Before starting an NST, what should the nurse encourage the patient to do to increase fetal movement and improve test accuracy?
Eat or drink something to stimulate fetal activity (like juice).
What is the one hour glucose tolerance test (GTT) ?
Drinking a glucose solution and checking blood sugar one hour later
The primary purpose of analyzing the fetal cells collected during this procedure is to identify these abnormalities.
What are chromosomal abnormalities?
During a BPP, the fetus shows two episodes of breathing, each lasting 25 seconds, in 30 minutes. How is the breathing scored?
What is 0 points?
(Each episode must be ≥30 seconds in 30 mins for the score to be a 2.)
After caring for a patient who recently had a CVS procedure, what key risks should the nurse educate them about, and which warning signs should they report immediately to their healthcare provider?
CVS has some risks, including miscarriage, infection, and bleeding. The nurse should teach the patient to call the provider right away if they have heavy vaginal bleeding, strong cramping, fever, leaking fluid. If the patient is Rh-negative, they may need Rhogam to prevent complications.
A reactive NST means fetal accelerations are present due to the interaction of what two branches of the fetal autonomic nervous system?
The sympathetic and parasympathetic nervous systems.
What is a non-stress test?
A fetal monitoring test records fetal heart rate and movement with a reactive result being a good sign.