Homework Answers
AMNIOCENTESIS
DESCRIPTION OF PROCEDURE
Amniocentesis is also called as Chorionic villas sampling or amniotic fluid test.The procedure involves puncture of amniotic sac and collection of amniotic fluid with fetal tissue for genetic testing
INTERPRETATION FINDINGS
The test can detect any genetic abnormalities especially in high risk women (Down syndrome,Trisomy 13,18 ,Neural tube defects)
It is also used as a test to identify the sex of the foetus,so banned in many countries
NURSING INTERVENTION
Pre
- Assess the patient status
- Explain the procedure to the women
- Get consent
- Provide psychological support
- Arrange all the necessary articles necessary for the patient
- Blood investigation to be done
- Prep the patient
Intra
- Assess patients vital signs during procedure
- Prepare the patient if ordered for anaesthesia (local anaesthesia )
- Provide supine position
Post
- Help patient to normal position
- Assess the vital statusof mother
- Assess feral heart sound
- Assess for any bleeding or pain
- Dressing as required
- Sample to be sent to laboratory for investigation
POTENTIAL COMPLICATIONS
- Miscarriage
- Chorioamionitis
- Preterm labour
- Respiratory distress
- Amniotic fluid embolism
- Vaginal bleeding
CLIENT EDUCATION
- Can perform normal activities
- Advices to take rest
- Report any type of discomfort immediately to the treating obstetrician
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