Page 227 - ترم ثاني كتاب تمريض صحة الام الكتروني

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- 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
2) Prepare equipment
3) Keep privacy

4) Explain the procedure and teach the mother that using electronic monitoring
does not mean that you or the baby has a problem- it's a common way we assess
the baby's response to labor contraction.
5) Verify doctor order.

6) use Leopold’s maneuver or grips To locate the fetus back
7) Apply ultra sound gel to the transducer as gel improues the transmission of ultra

sound wave.
8) Place the transducer on the woman's abdomen at approximately of fetal back,

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