Emergence of family unit
Sexual intimacy relationship continuing
Defining one’s individual roles
Being talkative and excited about becoming a mother
Express a strong need to review the events and her behavior during the process of labor and birth.
Exhibit a reduced attention span. limiting readiness to learn.
Vacillate between the desire to have her own nurturing needs met and the need to take charge of her own care and that of her newborn.
Have reestablished her role as a spouse or partner.
Maternal serum alpha-fetoprotein (MSAFP)
Sometimes uses vibroacoustic stimulation.
Is an invasive test; however. contractions are stimulated.
Is considered to have a negative result if no late decelerations are observed with the contractions.
Is more effective than nonstress test (NST) if the membranes have already been ruptured.
“I will need to have a full bladder for the test to be done accurately.”
“I should have my husband drive me home after the test because I may be nauseated.”
“This test will help to determine whether the baby has Down syndrome or a neural tube defect.”
“This test observes for fetal activity and an acceleration of the fetal heart rate to determine the well-being of the baby.”
Increased fetal movement and small for gestational age
Maternal diabetes mellitus and postmaturity
Adolescent pregnancy and poor prenatal care
History of preterm labor and intrauterine growth restriction
Doppler blood flow analysis
Contraction stress test (CST)
Daily fetal movement counts
The fetal alarm signal is reached when there are no fetal movements noted for 5 hours.
The patient can monitor fetal activity once daily for a 60-minute period and note activity.
Monitor fetal activity two times a day either after meals or before bed for a period of 2 hours or until 10 fetal movements are noted.
Count all fetal movements in a 12-hour period daily until 10 fetal movements are noted.