Amniocentesis - Active learning templates PDF

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Description

ACTIVE LEARNING TEMPLATE:

Diagnostic Procedure

lauren san millan STUDENT NAME _____________________________________ amniocentesis PROCEDURE NAME ____________________________________________________________________

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Description of Procedure Diagnostic procedure performed after 14 weeks for indications below

Indications -Previous birth with a chromosomal anomaly -A parent who is a carrier of a chromosomal anomaly -A family history of neural tube defects -Prenatal diagnosis of a genetic disorder or congenital anomaly of the fetus -Alpha-fetoprotein (AFP) level for fetal abnormalities -Lung maturity assessment -Fetal hemolytic disease -Meconium in the amniotic fluid

Interpretation of Findings low levels associated with chromosomal disorders (Down syndrome) or gestational trophoblastic disease (hydatidiform mole).

Potential Complications -Amniotic fluid emboli - Maternal or fetal hemorrhage - Feto-maternal hemorrhage with Rh iso-immunization - Maternal or fetal infection - Inadvertent fetal damage or anomalies involving limbs - Fetal death - Inadvertent maternal intestinal or bladder damage - Miscarriage or preterm labor - Premature rupture of membranes - Leakage of amniotic fluid

ACTIVE LEARNING TEMPLATES

CONSIDERATIONS

Nursing Interventions (pre, intra, post) Administer Rho(D) immune globulin to the client if she is Rh-negative (standard practice after an amniocentesis for all women who are Rh-negative to protect against Rh isoimmunization).

Client Education Encourage the client to drink plenty of liquids and rest for the 24 hr post procedure.

Nursing Interventions Monitor vital signs, temperature, respiratory status, FHR, uterine contractions, and vaginal discharge for amniotic fluid or bleeding. Administer medication as prescribed. Offer support and reassurance.

THERAPEUTIC PROCEDURE

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