7. fetal assessment
- 1. 丹亞亳亶仆 箪丹多多谷 狸箪鱈辰竪辿鱈 勵仆仍亞 Ulaanbaatar University, School of Nursing
- 2. 丹達竪辿鱈 箪単箪鱈 狸箪鱈辰 嘆樽丹竪鱈樽脱 叩坦辿達 多鱈箪谷箪探 1. Fetal movement 2. Fetal growth 3. Fetal heart beat 丹達竪辿鱈 探尊辰尊谷達尊尊鱈 丹達竪辿鱈 尊単尊谷嘆 丹達竪辿鱈 巽多丹探鱈竪辿 旦樽探竪谷嘆
- 3. 丹達竪辿鱈 箪単箪鱈 狸箪鱈辰 尊単尊鱈 嘆樽丹竪鱈樽脱 叩坦辿達 多鱈箪谷箪探 丹達竪辿鱈 探尊辰尊谷達尊尊鱈 丹達竪辿鱈 箪探鱈竪辿 探尊辰尊谷達尊尊鱈 16-20 辰樽谷樽樽 探樽鱈樽達竪辿鱈 辰丹 探尊辰尊谷達尊尊鱈 竪探箪但歎谷箪鱈 狸箪辰丹箪達辰辰箪達
- 4. 丹達竪辿鱈 探尊辰尊谷達尊尊鱈 鱈端 坦丹達 箪単箪鱈 狸箪鱈辰 尊単尊鱈 嘆樽丹竪鱈樽脱 叩坦辿達 竪谷嘆達箪探 探狸達竪辿鱈 単辿鱈 辰樽探竪樽 綻狸.
- 5. 丹達 箪単箪鱈 狸箪鱈辰 尊単尊鱈 嘆樽丹竪鱈樽脱 叩坦辿達 多鱈箪谷箪探 鱈端 丹達竪辿鱈 尊単尊谷嘆 狸辿鱈 尊鱈辰尊丹 鱈端 脱竪丹箪狸単鱈竪辿 辰樽谷樽樽 探樽鱈樽達嘆樽辿 狸淡 樽辿丹探樽鱈 嘆丹辰達 狸辿鱈 尊鱈辰丹尊尊丹 鱈端 坦丹達竪辿鱈 尊単尊谷嘆 狸坦坦 叩辿達 箪単箪探竪辿達 箪単但箪谷 竪探箪丹 叩辿鱈 坦坦 達箪辰達竪辿達 嘆樽辰樽丹探樽辿谷樽探 叩樽谷樽狸脱嘆樽辿
- 7. 丹達竪辿鱈 尊単尊谷嘆 18-32 辰樽谷樽樽 探樽鱈樽達嘆樽辿辰 坦狸辿鱈 尊鱈辰丹尊尊丹 坦丹達竪辿鱈 尊単尊谷嘆竪辿達 多鱈箪谷脱, 坦丹達竪辿鱈 探箪辰箪鱈 辰樽谷樽樽 探樽鱈樽達嘆樽辿達 嘆樽樽旦樽脱 達丹達脱 叩樽谷鱈樽.
- 9. 狸辿鱈 尊鱈辰丹竪辿達 探箪狸脱竪探 但単達 探樽樽単樽鱈 叩辿鱈 竪狸誰竪巽竪巽 多奪鱈竪辿 耽単鱈単 狸辿鱈 樽丹樽辿 探多丹嘆箪谷 探箪狸脱竪鱈箪
- 10. . 坦探辿谷叩谷 坦丹達竪辿達 探箪狸脱竪探箪辰 30 単狸 叩辿但谷 坦丹達 樽辿丹樽谷旦樽樽達樽樽丹 28-32 辰樽谷樽樽 探樽鱈樽達嘆樽辿 達箪単箪鱈 多達
- 12. 丹達竪辿鱈 箪単箪鱈 狸箪鱈辰 叩辿達 箪単箪探竪辿達 多鱈箪谷箪探 鱈端 丹達竪辿鱈 巽多丹探鱈竪辿 旦樽探竪谷嘆 丹達竪辿鱈 巽多丹探鱈竪辿 旦樽探竪谷嘆 鱈端 辰樽誰谷奪丹樽樽丹1112 辰樽谷樽樽 探樽鱈樽達嘆樽辿辰 単樽鱈単樽達辰辰樽達.
- 13. Doppler
- 14. 丕亞亳亶仆 亰勵仆亳亶 仂亳仍 丹達竪辿鱈 巽多丹探鱈竪辿 旦樽探竪谷嘆 鱈端 狸竪鱈坦嘆鱈辰 120-160 叩辿鱈
- 15. 丕亞亳亶仆 勵勵仍 仄仆亟亳亶仆 勵仆仍亞 丹達竪辿鱈 巽多丹探鱈竪辿 旦樽探竪谷嘆 多丹探鱈竪辿 探箪但竪辿鱈 旦樽探竪谷嘆 叩樽谷樽鱈 探箪狸鱈箪谷 鱈端 坦丹達 探箪但竪辿鱈 尊単尊脱 嘆樽丹竪鱈樽脱 叩辿達達竪辿鱈 淡竪鱈脱 嘆箪狸辰箪達
- 16. Listening to fetal heart beat with a fetascope
- 17. 丹達竪辿鱈 巽多丹探鱈竪辿 旦樽探竪谷嘆 鱈端 丹単 単辿鱈 狸箪辰丹箪達辰辰箪達. 箪狸嘆丹箪探 丹達短達 探箪丹箪達谷箪鱈 坦丹達竪辿鱈 鱈坦丹坦坦達 嘆箪狸嘆箪丹歎 叩樽谷鱈樽
- 19. Fetal Monitor Machine 丹達竪辿鱈 探耽鱈谷嘆短鱈 狸淡竪鱈
- 21. Late Deceleration 樽脱坦坦 多奪竪辿鱈 探坦丹辰単谷
- 23. Assessing fetal well being 箪嘆 但竪鱈 淡竪鱈脱竪谷達箪箪 鱈端 尊丹嘆尊達 尊鱈辰尊丹嘆箪辿 歎 多丹 辰多鱈嘆箪辿 丹達 綻狸
- 24. Ultrasound 丱 舒于亳舒仆 亳仆亢亳仍亞 1亅仆亳亶 亞于舒仆 舒舒亶亟 亞仍: a) 亳仄仆亳亶亞 勵亠亟 仆 弍舒舒仍亞舒舒亢仍舒, 唏唏 唏亟亳亶亞 仂亟仂仂亶仍仂 b) 亅仄亞亞 亢亳仄仍仍亳亶亞 仂仆仂仍仂 c) 丕仄舒亶仆 亟仂仂 亠唏仆亟唏亞亳亶亞 亳仍勵勵仍 d) 亳亶仆 弍舒亶仍舒仍亞 仂亞仂仂 e) 丕舒亞 亳 亳亶亞 仂亟仍舒
- 25. Ultrasound 丱 舒于亳舒仆 亢亳仆亢亳仍亞 丱仂 亟舒 亞于舒仆 舒舒亶 a) 丕亞亳亶仆 唏唏仍, 亢亳仆 弍仂仍仂仆 仆舒仍舒仍亞 勵仆仍 b) 勳仆 亞舒于舒仍 亳亳亶仆 仂于仂仍 弍仂仍亢 弍舒亶亞舒舒 亳亶亞 舒仍亞舒 c) 丕亞亳亶仆 弍舒亶仍舒仍亞 仂亞仂仂 d) 丕亞亳亶仆 亞舒亢 唏亞亢仍亳亶亞 仂亞仂仂 e) 丕亞亳亶仆 舒仄亟舒 舒亟于舒亞 勵仆仍 亞亢 f) 亳仂亳亰亳从亳亶仆 仆仂仂亞 仂亟仂仂亶仍仂 亞亢 g) 丕亞亳亶仆 亳仆亞仆亳亶 仄亢亞 仂亞仂仂 亞亢 h) 丕亞亳亶仆 弍ﾑ 舒仄亳仂仆 亳仆亞仆亞 舒亞舒仍 亳亶亢 舒于舒舒亟 亳亞仍勵勵仍仆 亰舒舒于舒仍舒
- 26. Fetal breathing movement 丕亞亳亶仆 舒仄亞舒仍仆 唏亟唏仍亞唏唏 At least one episode of breathing movements Absent respiration or episode of breathing at lasting 30 seconds in 30 minute period movements lasting at least 30 seconds in a Biophysical Profile 亳仂亳亰亳从亳亶仆 仂仆仂仂 30 仄亳仆仆 亞舒舒舒仆亟 30 亠从仆亟 勵亞仍亢仍 30 minutes period 舒仄亞舒仍仆 唏亟唏仍亞唏唏仆 舒仄亞亳亶仆 弍舒亞舒亟舒舒 仆亞 30 仄亳仆仆 亞舒舒舒仆亟 30 亠从仆亟 勵亞仍亢仍 弍舒亶仆舒 舒仄亞舒仍仆 唏亟唏仍亞唏唏仆 弍舒亶亞勵亶 弍ﾑ 舒仄亞舒仍舒亞勵亶 Gross body movement 勵 弍亳亠亳亶仆 唏亟唏仍亞唏唏仆 At least 3 separate and distinct episode of body limb movements in 30 minutes 30 仄亳仆舒仆亟 舒于亳亞舒仆 唏亟唏仍亞唏唏仆 舒仄亞亳亶仆 弍舒亞舒亟舒舒 亞于舒仆 亟舒舒 弍舒亶仆舒 Two or fewer episode of body or limb movement in 30 minutes 30 仄亳仆舒仆亟 舒于亳亞舒仆 唏亟唏仍亞唏唏仆 仂 弍ﾑ 勵勵仆 唏唏仆 弍舒亶仆舒 Fetal tone 丕亞亳亶仆 仂仆 At least one episode of extension and flexion of fetal extremities or the spine 丕亞亳亶仆 仄唏亳亟 于仍 仆 舒仄亞亳亶仆 弍舒亞舒亟舒舒 仆亞 亟舒舒 唏亟唏仍仆唏. Slow extension with return to partial flexion or movement of limb in full extension only or no movement 舒 唏仍唏唏 唏亟唏仍亞唏亟唏唏 仄舒 舒舒亢, 舒于亳亞舒仆 唏亟唏仍亞唏唏仆 舒亶仆 弍舒亶亞舒舒 唏唏 唏亟唏仍亞唏唏仆 弍舒亶亞勵亶 Amniotic fluid volume 丕亞亳亶仆 亳仆亞仆亳亶 仄亢 At least one pocket of amniotic fluid measuring at least 2cm in vertical diameter 仂仂仂 亟亳舒仄亠 舒仄亞亳亶仆 弍舒亞舒亟舒舒 2 仄仆 仄亢亶 舒仄亳仂仆 亳仆亞仆 舒仄亞亳亶仆 弍舒亞舒亟舒舒 仆亞 仗仂从亠 弍舒亶仆舒. Either pocket of fluid is less then 2 cm in vertical diameter or no pocket 仂仂仂 亟亳舒仄亠 勵亰亟 2 仄 仆亞 仗仂从亠 勵亶亞勵亶亶 于仍 ﾑ 弍舒亶亞勵亶 Fetal heart reactivity 丕亞亳亶仆 亰勵仆亳亶 勵亶仍 舒亢亳仍仍舒亞舒舒 Two or more accelerations of the fetal heart 0f at least 15beats/min above base line and the lasting at least 15 seconds associated with fetal movement within 20 minutes 丱仂亳仆 仄亳仆舒仆亟 亞亳亶仆 唏亟唏仍亞唏唏仆亶 仂仍弍仂仂仂亶亞仂仂 舒仄亞亳亶仆 弍舒亞舒亟舒舒 15 仄亠从仆亟仆亟 勵仆亟仆 亞舒仄仆舒舒 舒仄亞亳亶仆 弍舒亞舒亟舒舒 仄亳仆舒仆亟 15 亰勵仆亳亶 仂亳仍 弍舒亶亞舒舒亞舒舒 仂 弍仂仍仂仆 勵勵仆 亟 唏唏仍 舒舒亞亟舒仆舒. Less then two accelerations or acceleration less then 15beates/min in a 20 minute period 20 仄亳仆舒仆仆 亞舒舒舒仆亟 仄亳仆舒仆亟 15 仂亳仍仂仂 弍舒亞舒 弍舒亶 弍舒 唏唏仍 仆 2 弍ﾑ 勵勵仆 弍舒亞舒 弍舒亶仆舒.
Editor's Notes
- 3螳: 豺蟲(symphisis pubis)蟾讌 4螳: 豺蟲3螳 5螳 : 覦郁悉 覦襦6螳: 覦郁悉 蟾讌7螳: 覦郁悉 3螳 8螳: 覈豺(apex) 3螳 9螳: 覈豺蟾讌 10螳: 9螳螻 10螳
- Fetal heart tones are representative of the fetal heart and an indicator of oxygen perfusion to the fetal brain and heart. The evaluation of fetal well-being, in determining gestational age, and in cases of threatened abortion or other abnormalities. Fetal heart tones can be heard using techniques that amplify sound1. Doppler at approximately 10 weeks fetal gestation.2. Fetoscope (fetal stethoscope) at approximately 20 weeks fetal gestation.3. Electronic fetal monitoring testing is usually done when the fetus is considered viable; around 24 weeks gestation.4. Rate between 120 and 160 beats/minute.
- UltrasoundA. Description Ultrasound is a noninvasive, safe technique that uses reflected sound waves as they travel in tissue to produce a picture. A clear gel is applies to the womans abdomen or transducer, and the transducer is moved along the abdomen by the examiner producing images on a screen.