Session #9 Step 12: Ultrasound. Step 12: Ultrasound Indication for testing: Positive Pregnancy Test...
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Transcript of Session #9 Step 12: Ultrasound. Step 12: Ultrasound Indication for testing: Positive Pregnancy Test...
Session #9
Step 12: Ultrasound
Step 12: UltrasoundIndication for testing: Positive Pregnancy Test (ONLY) Confirm the viability of pregnancy.
visualize your baby’s heartbeat within the uterus. 31% of all pregnancies are not viable. (it could be
miscarriage, ectopic pregnancy, or multiple other reasons why the pregnancy hormone would be in the urine).
Confirming how far along she is related to her last menstrual period (LMP).
Explain what you anticipate before the exam.
© CompassCare Pregnancy Services
Step 12: UltrasoundUltrasound Routine “Glamor Shot” Measurements:
Heart Rate Gestational age measurement (GS and/or CRL) Mid Line: TRV and LNG views
Adnexa (same for both right and left) RT ADN: TRV and LNG LT ADN: TRV and LNG Label and measure ovaries/corpus luteum if seen
© CompassCare Pregnancy Services
Step 12: UltrasoundImportance of pt being alone:
Allows her to “feel” and express a reaction to what she sees
Offers privacy if needing to do vaginal ultrasound
Information of ultrasound (dates, etc) may add to situation
© CompassCare Pregnancy Services
----+3-4 wks
More clarity++++12 wks
arms & legs moving, jaw lines, fingers
and toes
++++11 wks
face++++9-10 wks
arms, legs++++8-9 wks
--+++6-7 wks
--?++5-6 wks
---?+4-5 wks
Development(visualized)
MovementsFetal Heart Motion
Yolk Sac (YS)
Gestational Sac (GS)
Gestational Age
Step 12: Ultrasound
© CompassCare Pregnancy Services
Step 12: UltrasoundFirst Trimester Symptoms:
Frequent urinationSize of uterus v bladder capacity
Nausea and vomitingEstimated gestational age, typically subsides
around 12 weeks
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Step 12: UltrasoundScope of Information Provided:
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Ultrasound ExamResults
See What YouExpect to See
Didn’t See WhatYou Expect to See
Confirm ViabilityCan not Confirm
Viability(Before 6 Weeks)
Can not Confirm Viability
(After 6 Weeks)
Step 12: UltrasoundSee What You Expect To See:
See What You Expect to See
Confirm Viability Can’t Confirm Viability
So, You’re Pregnant Brochure
Reschedule for Repeat Ultrasound
Refer to physician for Prenatal Care
© CompassCare Pregnancy Services
Step 12: UltrasoundSaw What you Expect to See
See What You Expect to See
Confirm ViabilityCan’t Confirm
Viability
Give Miscarriage/Ectopic Pregnancy
Brochure
Reschedule for repeat ultrasound
one week
Refer her to physician
© CompassCare Pregnancy Services
Step 12: UltrasoundDidn’t See What You Expect to See
© CompassCare Pregnancy Services
Didn’t See What You Expect to See
Can’t Confirm Viability
Symptoms ED No Symptoms
Call Patient’s OBFor Plan
If no OB, ED
Step 12: UltrasoundWhat this exam does not include:
Sex of the baby
Diagnosis of pregnancy from an RN or Sonographer
Diagnosis/Opinion of what is wrong if you do not see what you expect to see (to the pt.)
© CompassCare Pregnancy Services