Amniocentesis is a prenatal test. Is the sampling of amniotic fluid using a hollow needle

inserted into the uterus, to screen for developmental abnormalities in a fetus.

● Prescribed for a pt. who is at increased risk of having a baby with a birth defect or genetic

condition.

● An ultrasound transducer is used to show a baby's position in the uterus on a monitor

prior to procedure.

● It may be performed after 14 weeks of gestation.

Patient Education

● Instruct client to empty her bladder prior to procedure

● During procedure slight pressure will be felt, keep breathing.

○ The diaphragm is lowered when pt holds the breath.

Nursing Interventions

● With Rh negative will be given Rho(D) immune globulin, to protect against Rh

isoimmunization.

● Monitor FHR after the procedure for 30mins

● Notify provider for leakage, bleeding on site, pressure, contraction

ULTRASOUND EDUCATION: () page 29

● instruct patient to have full bladder. “Drink 1 quart of water prior to the procedure

● put the Wedge UNDER the right buttuck to prevent supine hypotention.

NONSTRESS TEST: NURSING INTERVENTIONS: page 31

● “What are you looking at while you monitor my baby?”

○ “This test monitors the response of your baby’s FHR to fetal movement.”

● Which trimester can this noninvasive test be performed? 3rd, 32 weeks

● Let's look at 2 strips to determine reactive vs. non reactive.

○ Let’s go over the reactive definition AGAIN!

○ Nonreactive, baby is sleeping, Opioid and nicotine(smoking) can cause baby to

relax which can cause a false nonreactive NST

● Why do we ALSO need to connect the client to the Toco transducer during this test?

○ If an acceleration occurs at the same time as a contraction it does not count

● Best Maternal Position during this exam?

○ High fowler’s or left side