Maternal-Child Nursing Chapter 15 – Prenatal Diagnostic Tests – Flashcards

Knowledge deficit related to antenatal tests Anxiety related to antenatal tests Risk of fetal injury or death related to invasive antenatal tests

Pregnant woman and family will verbalize understanding of antenatal tests If complications occur they will be identified promptly and appropriate nursing interventions will be initiated

To detect congenital anomalies To evaluate the condition of the fetus if the pregnancy is high risk and allow for interventions To provide baseline data such as more accurate gestational age

Transvaginal ultrasound crown to rump measurement in the 1st trimester

Confirm pregnancy Confirm fetal viability (w fetal heart tones) Detect multiple pregnancies Visualization during chorionic villi sampling Measures gestational age Evaluate uterine structures Detect missed abortion, tubal, or eptopic pregnancy Evaluate vaginal bleeding Measure crown to rump length of fetus

Confirm the due date Confirm fetal viability Confirm fetal number, position, gestational age Confirm placental cord and location Detect fetal anomalies Detect IUGR Visualize for amniocentesis Evaluate uterine and cervical structures Evaluate vaginal bleeding Assess amniotic fluid volume Fetal anomaly

Confirm gestational age Confirm fetal viability Detect placental abruption, previa, or maturity Detect fetal position Detect fetal anomalies Assess biophysical profile Asses amniotic fluid volume Perform doppler flow studies Visualize for diagnostic tests and external version Evaluate vaginal bleeding

2nd trimester = need a full bladder to displace the intestines and elevate the uterus (drink fluids before)