产科学英文课件：3 Normal Pregnancy.ppt

FT FM AFI FBM ( NST ) meconium-contaminated Grade I 、II、 III 1) fetal movement of counting normal: 12h10 2) estriol in maternal 24h urine normal value: 15mg/24h warning value: 10-15mg/24h risk value: 10mg/24h E/C (estriol/creatine) normal value: 15 warning value: 10-15 risk value: 10 3）HPL (human placental lactogen) 4）OCT 5) others 1）EDC 2）BPD8.5; placenta II+ or more 3）amnionic fluid L/S (lecithin/sphingomyelin)2 4）PG 1 What does placenta consist of and what is function of placenta? 2 Describe the changes of cardiovascular system in pregnancy 3 What are prerequisites for implantation? 4 describe laboratory examinations for diagnosis of early pregnancy 5 what is fetal lie, fetal position and fetal presentation? 6 what is Hegar’s sign? 7 What is the monitoring method for safety of fetus in uterus? Hegar’s sign: On careful vaginal examination, the firm, hard cervix is felt and above it elastic corpus, between them the isthmus is felt as a soft compressible area. 6-8 weeks of gestation, this change is so marked that as if no connection exists. * See previous slide. Point out differences between normal and diminished variability. Mention clear plastic tool some nurses use to ‘measure’ variability and accels. To decide if a pattern looks like random variability or mild decels, sometimes it is helpful to turn the strip upside down, with UC pattern on top and FHR on bottom, and look at it that way. Pattern becomes clearer if subtle decels. Also, to detect baseline change over the hours, take a long folded strip, hold it folded in your hand, look at edge….you can see the line of baseline FHR along the numerous folds of paper over the hours and easy to see if baseline rising. * What is this?? Looks like normal to a new nurse sometimes, but is very dangerous pattern. * Base line 135, so they start measuring the accel on top at point where accel goes above baseline, and stop when it returns to base (although to me it looks like it