NURS 220 Lecture Notes - Lecture 3: Dysfunctional Uterine Bleeding, Vaginal Bleeding, Fetal Movement
Document Summary
Third ob exam: assessment of fetal wellbeing chapter 19. Opportunity for questions, explain the procedure, does she understand the procedure and when will she be notified of the results: ultra sound, high frequency sound waves. Standard us (2nd/3rd trimester) fetal presentation, fetal number, amniotic fluid volume, placental position, cardiac activity, anatomic survey. Limited us (address specific questions/information) fetal presentation before or during labor, confirm fetal heart activity, evaluate growth, evaluate cervix, and guide amniocentestis. The deepest pocket to fluid in each quadrant is measure and added together. 20 cm or more = possible hydramnios fetal urine output and fetal swallowing are major determinants of amniotic fluid: biophysical profile, assessment of 5 fetal biophysical variables. Each of the 5 criteria are assigned 2 points. Total points is 10 and score of 8-10 is normal: amniocentesis, used for genetic testing and determining lung maturity in the 3 rd trimester, performed 15-20 weeks gestation, 30-39 weeks for lung maturity testing, indications:
