LABORATORY TEST

⦁ BLOOD TYPE & RH FACTOR :- A,B,AB, O

→ ABO typiung is tperformed to determined the woman's blood type

→ to determine the presence or absence of rh antigen.

⦁ HB & Haematocrit valve will drop/during gestation as a result of increased plasma volvme 

→ Haematocrit value may indicate - induced hypertensin

→haematocrit & hb→ indicate anemis

(10g/dl)  or  (30%)

⦁ Papanicolau's smear:-cervical nervical neoplasia.

⦁ STD→ gonorshoes, syphills, herper visus[Elanmydis,trichomoniaris human papilloms virus.)

→FHr in response to fetal movement

→resctive non stsers test -indicste a healty child

→Non-resctive NST indicste abnormal child.

⦁ tubesculin test → montex test

⦁ hepstitis- B surfrace antigen

⦁ urinalysis B and urine cultuse (glucose & protein)

DIAGNOSTIC TESTS:-

⦁ ULTRA SONOGRAPHY→

→vsg Assist to confirm gestational are or EDD.

→abdominally or trans vegina.

↓ ↓

wonen ny need to drink A lubricated probe is inserted into the

water to fill the bladder vagina.

 before procedure.

⦁ TRIPLE TEST :- (16-18 w):-  

APF VE3 HCG  (combind biochenrical test help in detection of

                                                               alown syndronu not only diagnostic but suggestion)

LOW LOW HIGH     down syndrame

GIGH LOW LOW     neural tube defect spins bifids.

⦁ ALPHA- FETO PROTEIN SCRENNIG:-

          

FERN TEST :-   [dorsal lithotomy position]

→microscopic slide →determine→presence of amniotic fluid leakage 

→ speciumen obtained →external opf cervix →veginal 

            →slide under a microscope 

→ a fern like pattern (occurize ammotic fluid) → indicate presence of amniotic fluid 

nitrigine test :-    [dorsal lithotomy position]

nitrigine test strip is used to detect the presence of amniotic fluid in vegin

→ vaginal secsetion have a ph   3.8 to 4.5 do not affect  the yellow nitrigine to blue

NON STRESS TEST :-

                    →placantal function and oxygenstion 

                     →test determine fetal well -being

                     →test evaluates FHR responce to fetal movement 

interveention -

         →  vltresound transducer and tocodynsmometer applied to the client (trecine 

   →BP obtain (monitored  activity observed)

→Give  (slide lying) position (avoid vens cava compression )

→client may ask pressa a butten every time she fells fetal movement

    [monitar fetal movement and for response]

RESULT :-

                 reactive /nonstress test (negative)

                 reactive →  indicates a healthy fetus 

mon- reactive /nonstress test (abnormal tve)

CONTRSCTION  STRESS TEST :-

assess placental function  oxygenstion 

        →  test determines fetal ability to tolerite labar and fetal well-being

→ fetal is exposed to stress of contrection 

 →  test is performed if non stress test is abnormal 

INTERVENTION 

PSYCHOLOGICAL MATERNAL CHANGES

(1) Ambivalence:- (Mixed Felling or contradictory ides about something or some one)

⦁ Occur early in Pregnancy even when the pregnancy is planned.

⦁ Mother may experience dependent – independent conflict & ambivalence selected to sole change

⦁ Father May experience ambivalence selected to new sole is assuming the increased financial responsibilities & sharing the wife’s attention with the child.

(2) Acceptance:-

⦁ Women’s readiness for the experience & her acceptance of identification with the mother hood role 

(3) Relation ship with the fetus:-

⦁ The women may dry dream to prepare for mother hood

⦁ Think about the maternal qualities she would like to possess.