ACTIVE LEARNING TEMPLATE: Diagnostic Procedure
lauren san millan
STUDENT NAME _____________________________________
amniocentesis
PROCEDURE NAME ____________________________________________________________________ REVIEW MODULE CHAPTER ___________
Description of Procedure
Diagnostic procedure performed after 14 weeks for indications below
CONSIDERATIONS
Indications
-Previous birth with a chromosomal anomaly Nursing Interventions (pre, intra, post)
-A parent who is a carrier of a chromosomal anomaly
-A family history of neural tube defects Administer Rho(D) immune globulin to the
-Prenatal diagnosis of a genetic disorder or
congenital client if she is Rh-negative (standard
anomaly of the fetus practice after an amniocentesis for all
-Alpha-fetoprotein (AFP) level for fetal abnormalities women who are Rh-negative to protect
-Lung maturity assessment against Rh isoimmunization).
-Fetal hemolytic disease
-Meconium in the amniotic fluid
Interpretation of Findings
Client Education
low levels associated with chromosomal
Encourage the client to drink plenty of liquids
disorders (Down syndrome) or gestational
and rest for the 24 hr post procedure.
trophoblastic disease (hydatidiform mole).
Potential Complications Nursing Interventions
-Amniotic fluid emboli Monitor vital signs, temperature, respiratory
- Maternal or fetal hemorrhage status, FHR, uterine contractions, and
- Feto-maternal hemorrhage with Rh iso-immunization
- Maternal or fetal infection vaginal discharge for amniotic fluid or
- Inadvertent fetal damage or anomalies involving limbs bleeding.
- Fetal death Administer medication as prescribed.
- Inadvertent maternal intestinal or bladder damage Offer support and reassurance.
- Miscarriage or preterm labor
- Premature rupture of membranes
- Leakage of amniotic fluid
ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A3
lauren san millan
STUDENT NAME _____________________________________
amniocentesis
PROCEDURE NAME ____________________________________________________________________ REVIEW MODULE CHAPTER ___________
Description of Procedure
Diagnostic procedure performed after 14 weeks for indications below
CONSIDERATIONS
Indications
-Previous birth with a chromosomal anomaly Nursing Interventions (pre, intra, post)
-A parent who is a carrier of a chromosomal anomaly
-A family history of neural tube defects Administer Rho(D) immune globulin to the
-Prenatal diagnosis of a genetic disorder or
congenital client if she is Rh-negative (standard
anomaly of the fetus practice after an amniocentesis for all
-Alpha-fetoprotein (AFP) level for fetal abnormalities women who are Rh-negative to protect
-Lung maturity assessment against Rh isoimmunization).
-Fetal hemolytic disease
-Meconium in the amniotic fluid
Interpretation of Findings
Client Education
low levels associated with chromosomal
Encourage the client to drink plenty of liquids
disorders (Down syndrome) or gestational
and rest for the 24 hr post procedure.
trophoblastic disease (hydatidiform mole).
Potential Complications Nursing Interventions
-Amniotic fluid emboli Monitor vital signs, temperature, respiratory
- Maternal or fetal hemorrhage status, FHR, uterine contractions, and
- Feto-maternal hemorrhage with Rh iso-immunization
- Maternal or fetal infection vaginal discharge for amniotic fluid or
- Inadvertent fetal damage or anomalies involving limbs bleeding.
- Fetal death Administer medication as prescribed.
- Inadvertent maternal intestinal or bladder damage Offer support and reassurance.
- Miscarriage or preterm labor
- Premature rupture of membranes
- Leakage of amniotic fluid
ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A3
