Chapter 6: Antepartal Tests (Davis
Advantage for Maternal-Newborn Nursing:
Critical Components of Nursing Care: 4th
Edition)
Antenatal Fetal Surveillance: Amniotic fluid index - ANS - U/S measurement of AF
in four quadrants of uterine cavity
Under 5 is oligo, over 24 is poly
\Antenatal Fetal Surveillance: Biophysical Profile - ANS - Measures NST+
breathing, movement, tone, AFI, breathing for 30 seconds, three or more
movement, extension and flexion, a pocket of fluid measuring at least 2 cm
\Antenatal Fetal Surveillance: Contraction stress test - ANS - Monitor fetus NST
while contracting
\Antenatal Fetal Surveillance: Fetal movement counting: - ANS - Baseline is 10
'fetal movements' in 2 hours
\Antenatal Fetal Surveillance: Nonstress Test - ANS - Baseline is 2 accels in 20
minutes.
If there is not 2 accels in 20 minutes, wait 40 minutes. Watch for deccels
\At Risk Pregnancy vs High Risk Pregnancy - ANS - At Risk: Higher chance of
experiencing problems
High Risk: Something is already happening to the mother (diagnosis has already
been made)
\Basis of Genetic Tests - ANS - Detect health problems that could affect the
woman, fetus, or newborn
Provide with information to allow a fully informed decision about pregnancy
management
Anyone over the age of 35 qualifies
\Biochemical Tests: Amniocentesis - ANS - Aspiration of amniotic fluid through
the abdomen, genetic testing usually, but can be used for lung maturity
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