Page 207 - كتاب تمريض نسا الاكتروني

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- Check for cord prolapse.
- Examine the cervix.
- Check progress of dilation and descent.
- Correct maternal hypotension increase intravenous fluids.

- Continuous observation until delivery be prepared for emergency delivery.

7-Sinusoidal pattern:
it indicates fetal anemia as in case of ruptured vasa praevia, feto maternal haemorrhage,
twin-to-twin transfusion syndrome, and Rh-immunization.
Causes:

- Acute intra partum asphyxia.
- Fetal maternal hemorrhage.
- Chronic fetal anemia.

Management:
-Continuous, careful, fetal assessment including direct ultrasound observation of fetal
abnormalities or placental abnormalities.

- Assessment for active fetal movement is important in assessing fetal status.
- Percutaneous umbilical blood sampling under ultrasound guidance is a technique that
permits fetal hemoglobin levels to be assessed.

- Preparations for a possible emergent delivery should be initiated if intrauterine
resuscitation is not appropriate.

 Method of electronic fetal monitoring

I-External fetal monitoring
Equipment:
1- Bedside monitor unit
2- Two transducer or sensor (one sensor for FHR and the other one for uterine activity)

3- Paper strip
4- Belts to hold the sensors or transducer.
5- Ultra sound Gel.

1) Hand washing

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