Diagnostic Procedure Template

ACTIVE LEARNING TEMPLATE: Diagnostic Procedure Bregy Alex STUDENT NAME _____________________________________ Amniocentesis PROCEDURE NAME ____________________________________________________________________ REVIEW MODULE CHAPTER ___________ Description of Procedure The aspiration of amniotic fluid for analysis by insertion of a needle transabdominally into a clients after 14wks gestation Alpha-fetoprotein (AFP) guidance locating the placenta + determining the position of the fetus Performed fluid btwn 15 + 20wKs (16-18 ideal) + can be used to assess for neural tube defects in the fetus or chromosomal disorders. CONSIDERATIONS Indications Previous birth w/ a chromosomal anomaly A parent who is a carrier of a chromosomal anomaly A family hy of neural tube defects Prenatal Dx of a genetic disorder or congenital anomaly of the fetus Afplevel for fetal abnormalities Lung maturity assessment Fetal Nursing Interventions (pre, intra, post) Explain Procedure + witness informed consent Obtain + document baseline vS + FAR prior to procedure Assist client to supine position Prepare client for US to locate the placenta Monitor FHR Admin Rho(p) immunoglobin to the client if they are Rh hemolytic disease Interpretation of Findings Alpha-fetoprotein Fetal utewstamnioticsunderdiresta . . negative Client Education Empty bladder Prior to procedure to reduce its size+ reduce the risk of inadvertent puncture understand there will be a feeling of slight pressure as the needle is Lung Maturity . inserted. continue breathing be holding breath will lower the diaphram against the uterus + shift the intrauterine contents Report to the provider if experiencing fever, chills, leakage of fluid or bleeding from the insertion site, decreased fetal movement vaginal bleeding or uterine contractions after the procedure Potential Complications or Fetal , and hemorrhage Fetomaternal hemorrhage wl Rhisoimmunization Maternal or Fetal Infection Inadvertent fetal damage or anomalies involving limbs Fetal death Inadvertent maternal Intestinal Miscarriage or Preterm Labor Leakage of amniotic fluid ACTIVE LEARNING TEMPLATES Nursing Interventions Monitor vs temp respiratory status FHR Uterine contractions, Amniotic Fluid Emboli Maternal , or bladder damage , , vaginal discharge for amniotic fluid Administer Medication as prescribed. offer support + reassurance . , or bleeding.