ANTEPARTAL FETAL ASSESSMENT

Developed by
D. Ann Currie, R.N.,M.S.N.

ANTEPARTAL FETAL ASSESSMENT

TERMINOLOGY
ULTRASOUND LABORATORY TESTS FETAL MOVEMENT COUNT BIOPHYSICAL PROFILE-(BPP) NONSTRESS TEST-(NST) CONTRACTION STRESS TEST-(CST)

ANTEPARTAL FETAL ASSESSMENT

AMNIOTIC FLUID INDEX-(AFI)
DOPPLER FLOW STUDIES PLACENTA LOCATION &GRADING AMNIOCENTESIS CHORIONIC VILLUS SAMPLING-(CVS) PERCUTANEOUS UMBILICAL BLOOD SAMPLING-

(PUBS)

ANTEPARTAL FETAL ASSESSMENT

FETOSCOPY
FETAL FIBRONECTIN OTHER

NURSES 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

NURSES ROLE
RISKS/COMPLICATIONS
WHEN TEST WILL BE PREFORMED DURING

PREGNANCY CLIENT EDUCATION CLIENT ADVOCATE SUPPORT CLIENT

ULTRASOUND
WHAT IS AN ULTRASOUND? & HOW DOES IT

WORK? TYPES-TRANSVAGINAL & TRANSABDOMINAL USES NURSES ROLE WITH ULTRASOUND

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

Ultrasound

ULTRASOUND-INDICATIONS AND/OR USES

POSITIVE DX OF MULTIPLE

PREGNANCY GESTATIONAL AGE VIABILITY FETAL GROWTH FETAL PRESENTATION

GESTATIONS BPP WITH AMNIOCENTESIS, CVS,or PUBS. AFI PLACENTA GRADING

CONT.ULTRASOUND
DX OF ETOPIC OTHER

PREGNANCY, HYDATIDIFORM MOLE,FETAL ANOMALY, UTERINE ANOMALY,CAUSE OF VAGINAL BLEEDING

NURSES ROLE WITH ULTRASOUND

KNOW THE ASSESSMENT OF

PROCEDURE AND PURPOSE CLIENT EDUCATION CLIENT ADVOCATE ANSWER QUESTIONS AND CONCERNS

CLIENT PREPARATION OF CLIENT SUPPORT

LABORATORY TESTS
ALPHA FETAL FIBRONECTIN
L/S RATIO PHOSPHATIDYL-

FETOPROTEIN MATERNAL SERUM ALPHAFETOPROTEIN(MSAFP) TRIPLE SCREENINGMSAFP,HCG , &ESTRIOL

GLYEROL-(PG) AMNIOCENTSIS SAMPLE STUDIES GENETIC STUDIES

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

FETAL MOVEMENT COUNT

SEVERAL METHODS- CARDIFF METHOD , DAILY

FETAL MOVEMENT RECORD (DFMR),or OTHER. NURSES ROLE IN DFMC.

BIOPHYSICAL PROFILE
FETAL HEART RATE
FETAL MOVEMENT FETAL BREATHING FETAL TONE AMNIOTIC FLUID INDEX/VOLUME PLACENTA GRADING

(BPP)

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.

Reactive NST

NST
NONREACTIVE STRIP-NONREASSURING-NO

ACCELERATIONS WITH FM,ABSENT OR MINIMAL VARIBILITY. CAN BE USED IN PRETERM PREGNANCIES. CAN BE DONE OUTPATIENT OR CLINICS.

Nonreactive NST

CONTRACTION STRESS TESTCST

DONE WITH EXTERNAL FETAL MONITOR &

STIMULATION OF UTERUS BY VARIOUS METHODS. POSITIVE TEST- NONREASSURING3 UC IN 10 MIN. PERIOD, LATE DECELERATIONS WITH UC, NO ACCELERATIONS OF FHR WITH UC OR FM, ABSENT OR MIN VARIABLITY

Positive CST- Nonreassuring FHR Pattern

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.

Negative CST

AMNIOCENTESIS
INVASIVE PROCEDURE USED TO DX GENETIC

,CHROMOSOMAL , OR BIOCHEMICAL PROBLEMS,OR LUNG MATURITY. DONE WITH US. STERILE TECHNIQUE USED. RISKS/SIDE EFFECYS NURSES ROLE.

Aminocentesis

CHORIONIC VILLUS SAMPLINGCVS

INVASIVE PROCEDURE DONE WITH US. USED TO DX GENETIC,METABOLIC,& DNA

ABNORMALITIES 1ST TRIMESTER RISKS NURSES ROLE

Chorioic Villus Sampling-CVS vs Aminocentesis

PERCUTANEOUS UMBILICAL BLOOD SAMPLING-PUBS

INVASIVE PROCEDURE DONE WITH US TO

OBTAIN FETAL BLOOD. USED TO DX VARIOUS CONDITIONS. RISKS NURSES ROLE.

FETOSCOPY
INVASIVE PROCEDURE USED TO DIRECTLY

OBSERVE FETUS AND/OR OBTAIN BLOOD OR SKIN SAMPLES. ALSO SOME SURGERIES CAN BE DONE / RISKS NURSES ROLE

OTHER