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15 Cards in this Set

  • Front
  • Back

Purpose of amniotic fluid

allows the fetus to move freely within the amniotic cavity while maintaining intrauterine pressure and protecting the developing fetus

Contributors to the production of amniotic fluid

Umbilical cord membranes


lungs


skin


kidneys

Volume of amniotic fluid increases until the _week

34 weeks

Amniotic fluid appears most generous.....

20-30 weeks


increases by 10mL per day

Vernix caseosa

fatty material found on fetal skin and in amniotic fluid

Source of amniotic fluid early in gestation

amniotic membrane

Amniotic fluid regulation

Production of fluid with swallowing, fluid exchange in lungs, urination

Relationship between amount of amniotic fluid and lung development

oligohydramos/ low amounts of amniotic fluid causes inadequate lung development



could cause small or hypoplastic lungs

Per week increases 11-15 weeks

25mL

Per week increase 15-28 weeks

50mL

Hydramnios/polyhydramnios

increase in amniotic fluid


AFI greater than 24cm


Largest vertical pocket: > 8cm

Oligohydramnios

decreased amount of amniotic fluid


AFI less than 5cm


Largest vertical pocket: 2cm or less

AFI method

Uterine cavity is divided into 4 equal quadrants and the largest vertical pocket of amniotic fluid free from limbs or loops is measured


Single-Pocket assessment

Identify the largest pocket of amniotic fluid free from fetal components and measure



normal: 2-8cm


Two-Diameter Pocket assessment

Identify the largest pocket of amniotic fluid free from fetal components and measure 2 diameters, multiply them together



normal: 15-50cm