Fetal Assessment - Evaluation of Fetal Well-being and...

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Evaluation of Fetal Well-being and Nutrition in Pregnancy
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Psychologic Response to Testing Routine part of care Confirmation of viability Psychologic preparation for attachment Fear and anxiety
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Assessments Taken at Subsequent Prenatal Visits Weight and blood pressure measurements; compared to the baseline values Urine testing for presence of protein, glucose, ketones, and nitrites Fundal height measurement to assess fetal growth Assessment for quickening/fetal movement to determine well-being Assessment of fetal heart rate; should range between 110– 160 bpm
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Fundal Height
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Fundal Height Indicates uterine size by measuring from the top of the symphysis pubis to the top of the fundus Correlates with weeks of gestation between 20–30 weeks 20 weeks = 20 cm 24 weeks = 24 cm 30 weeks = 30 cm
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Assessment of Fetal Well-Being Ultrasonography Doppler flow studies Alpha-fetoprotein analysis Marker screening tests Amniocentesis Chorionic villus sampling (CVS) Percutaneous umbilical blood sampling (PUBS) Nonstress test Contraction stress test
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First Trimester Ultrasound Establish gestational age Crown to rump length Most accurate – 10 weeks Nuchal translucency testing Combined ultrasound and serum testing Risk for chromosomal disorders Screened between 11 wks 1 day and 16 wks 7 days
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