NURS405 Lecture Notes - Lecture 1: Fundal Height, Braxton Hicks Contractions, Cardiotocography
23 Apr 2015
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Antepartum care: assessment of progress of pregnancy, htn, diabetes, chronic conditions, other family difficult labour, genetics (ie. mental health from pregnancy) Palpation for fetal attitude, lie, presentation, position leopold"s maneuvers (which way fetus is facing; breached?) Systematic way of evaluating the maternal abdomen and fetal position for assessment of growth, development, and presentation: helpful to determine best position for auscultating fetal heart, fetal heart most clearly at the fetal back. Fetal attitude: length of labour, possibility of vaginal delivery: flexed (curled into a ball) is proper **need tucked head always, military position (straight, mentum (sp?) Fetal lie: spinal axis same/longitudinal (proper) or opposite/horizontal maternal axis. Position: relationship of the designated landmark on the presenting fetal part to the maternal pelvis. Fetal growth: leopold"s, ultrasound (at 20 weeks best picture, less bone) can date a pregnancy at anytime, also used when post-term.
