UsedtodetectNeuralTubeDefect
quadmarkerscreening
referre
AbnormalFindings dy
geneticcounseling
ultrasound
Amniocentesis
INDICATIONS
potentialDiagnosis CONSIDERATIONS
Allpregnantclients11618Weeks ofgestation DISCUSSITSTING IN laient
Interpretatings defect DrawBloodSample
highlevelscanindicateneuraltube OfferSupport 1 EDUCATIONAS
oropenabdominaldefect NEEDED
101Nlevels canindicateDownSyndrome
AMNIOCENTESIS performed after 14wks ofgestation
Aspirationofamnioticfluidforanalysis by CONSIDERATIONS
insertionofaneedletransabdominallyintoa
Clientsuterus amnioticsacunderdirect
Ultrasound guidancelocatingtheplacenta Pre
Procedure
ddetermining positionoffetus ACTIONS
NURSING
ExplainProcedure obtaininformedconsent
INDICATIONS PatientEDUCATION
instructpatienttoemptybladderprior
Previousbirthwithchromosomalanomaly totheproceduretoreduceitssize reduce
Aparentwhoisacarrier chromosomalanomaly
of theriskofInadvertantpuncture
AfamilyhxofneuraltubeDefects intraprocedure
prenatalDXof ageneticDisorderor congenitalAnomaly Nursing Actions
Alphafetoprotein AFP levelforabnormalities Baseline vitals EHR priortoprocedure
lungmaturityassessment3rd
trimester
positionplace
supine wedgeunderahiptoDisplaceuterusoffvenacava
fetalhemolyticdisease place overpatient
D rape e xposing onlyher a bdomen
Meconium intheamnioticfluid prepptforanultrasoundto locateplacenta
cleanse ptabdomenwithantiseptic solution
to
prior administration oflocala nesthesiabyprovider
INSTRUCT
PTthatshe114111feelslightpressureasthe
needleisinsertedSheshouldcontinuebreathingbc holding
herbreathwilllowerthediaphragmagainsttheuterus
toshifttheIntrauterinecontents