Antepartal Testing II
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What is MSAFP, & what does it screen for?
When are they tested for MSAFP?
- Maternal Serum Alpha-Fetoprotein
- AFP is produced in the liver & increased levels are detectable in the serum of prgonant woman.
It is a screening tool that detects NTD & candidates for more def procedures.
Between 15-22 weeks
What does the triple marker test for & when?
Down Syndrome between 16-18 weeks
What is a DFMC and what does it access for?
Daily Fetal Movement Count or kick count
Its the assessment of fetal activity by the mother.
When should you teach the mother to call and report a DFMC?
a count less than 3/hr is further evaluated by NST, CST, & BPP.
What is an amniocentesis.
an 18 gauge needle is inserted transabdominally into the uterues, guided by an ultrasound with general anesthesia
When is an amniocentesis performed? What is a defect that could happen if performed to early?
after 14 weeks
major limb defects
When an amniocentesis is performed, what does it detect? (4)
- 1. DNA cells
- 2. Bilirubin
- 3. LS ratio
- 4. Meconium: when baby is stressed
When amniocentesis is performed, what are some risks for the mother? (6)
- 1. Hemorrhage
- 2. infection
- 3. premature labor
- 4. abruptio placenta
- 5. Damage to intestines/bladder
- 6. amniotic fluid embolism
When amnio is performed what risks does it put the fetus at risk for? (6)
- 1. death
- 2. hemorrhage
- 3. infection
- 4. injury from needle
- 5. miscarriage
- 6. leakage of amniotic fluid
Before an amnio is performed what teaching can be done post procedure? (5)
- 1. the results
- 2. light activities for 24//hr
- 3. drink plenty of fluids
- 4. watch for increase or decrease in fetal activity
- 5. administer rhogam if RH-
After an amnio is complete what do you inform the mother to report? (4)
- 1. vaginal discharge (clear or bleeding)
- 2. uterine contractions
- 3. abdominal pain
- 4. fever or chills (infection)
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