Ultrasound for advanced practitioners in pregnancy and women's health / Cydney Afriat Menihan.

Format:

Book

Author/Creator:

Menihan, Cydney Afriat, 1951- author.

Contributor:

ProQuest ebook central.

Language:

English

Subjects (All):

Maternity nursing.

Obstetrics.

Ultrasonics in obstetrics.

Pregnancy--Health aspects.

Pregnancy.

Obstetric Nursing--methods.

Ultrasonography--nursing.

Point-of-Care Systems.

Medical Subjects:

Obstetric Nursing--methods.

Ultrasonography--nursing.

Point-of-Care Systems.

Physical Description:

1 online resource : illustrations

polychrome

Place of Publication:

Burlington, MA : Jones & Bartlett Learning, [2020]

System Details:

text file

Contents:

Chapter 1 Ultrasound Guidelines, Education, and Professional Responsibility p. 1

Past and Present Barriers to APs Performing Ultrasound Examinations p. 3

Past Barriers p. 3

Present Barriers p. 3

Professional Societies' Guidelines p. 3

American Institute of Ultrasound in Medicine p. 4

AIUM Practice Guideline for the Performance of Obstetric Ultrasound Examinations p. 4

AIUM Practice Guideline for the Performance of the Ultrasound Examination of the Female Pelvis p. 4

AIUM Practice Guideline for the Performance of Ultrasonography in Reproductive Medicine p. 4

AIUM Training Guidelines for Physicians Who Evaluate and Interpret Diagnostic Obstetric Examinations p. 5

AIUM Practice Parameter for the Performance of Limited Obstetric Ultrasound Examinations by Advanced Clinical Providers; and Training Guidelines for Advanced Clinical Providers in Women's Health Performing and Interpreting Limited Obstetric Ultrasound p. 5

American Society for Reproductive Medicine p. 6

American College of Obstetricians and Gynecologists p. 6

Association of Women's Health, Obstetric, and Neonatal Nurses p. 7

American College of Nurse-Midwives p. 8

Licensing of Professional Sonographers p. 9

Society for Diagnostic Medical Sonographers p. 9

Professional Responsibilities p. 9

Scope of Practice p. 9

Obtaining Ultrasound Education and Training in Pregnancy and Women's Health p. 10

Medical School General Ultrasound Education p. 10

OB/GYN Residency Education Programs p. 10

Physician Assistant Programs p. 11

Women's Health Nurse Practitioner Programs p. 11

Family Nurse Practitioner Programs p. 11

Midwifery Educational Programs p. 11

Clinical Competency in Sonography p. 11

Implementation of Telemedicine in Ultrasound Education p. 12

Use of Simulators for Clinical Practicum p. 12

Safety in Training and Research p. 12

Guidelines for Hands-on Scanning in Pregnant Subjects for Clinical Education p. 12

Competency and Cost p. 12

Documentation and Retrieval p. 14

Ultrasound for Nondiagnostic Purposes p. 14

Keepsake Fetal Imaging p. 15

Consent for Ultrasound p. 15

Liability Concerns Related to the Performance of Ultrasound p. 15

Ultrasound Practice Accreditation p. 16

Practitioner Certification in Ultrasound Practice p. 16

American Registry of Diagnostic Medical Sonographers p. 16

Chapter 2 Image Acquisition p. 21

Ultrasound Physics p. 21

Sonography Display Modes p. 22

Doppler Ultrasound Transducer Operation p. 22

Color Flow Doppler Ultrasound p. 22

Spectral Doppler Ultrasound p. 23

Duplex Doppler Ultrasound p. 23

Transducers p. 23

Transducer Maintenance p. 26

Scan Planes p. 26

Scanning Techniques p. 27

Abdominal Transducer Manipulation When Imaging p. 28

Ultrasound Bioeffects: Thermal and Nonthermal p. 29

Thermal Effects p. 30

Nonthermal Effects p. 32

Output Display p. 32

Ultrasound Safety: The ALARA Principle p. 32

Image Processing p. 33

Basic Controls and Settings p. 34

Artifacts p. 34

Chapter 3 Ultrasound in Gynecology and Reproductive Technologies p. 39

Ultrasound Anatomy of the Female Pelvis p. 40

Urinary Bladder p. 41

Pelvic Musculature p. 41

Pelvic Vasculature p. 43

Uterus p. 45

Myometrium p. 45

Endometrium p. 46

Cervix and Vagina p. 47

Pelvic Adnexa p. 48

Bowel p. 48

Fallopian Tubes p. 48

Ovaries p. 49

Sonographic Localization of Intrauterine Devices p. 53

Sonographic Assessment of the Bladder p. 54

Documentation and Subsequent Care p. 54

Chapter 4 Ultrasound in the First Trimester p. 59

Indications for First-Trimester Standard Sonogram p. 59

Discriminatory Zone in First-Trimester Evaluation p. 60

Transvaginal Sonography in the First Trimester p. 61

The Standard Sonographic Exam p. 61

Membranes, Yolk Sac, and Umbilical Cord p. 61

Gestational Sac p. 61

The Embryo/Fetus p. 63

Crown-Rump Length Measurement p. 63

Fetal Heart Motion p. 64

Fetal Structural Abnormalities p. 65

Nuchal Translucency p. 65

Adnexa and Uterus p. 66

Sonography in Early Pregnancy Complications p. 67

Threatened Abortion p. 67

Anembryonic Gestation or Nonliving Embryo/Fetus p. 67

Missed Abortion p. 67

Pregnancy of Unknown Location p. 67

Ectopic Pregnancy p. 68

Trophoblastic Disease and Placental Issues p. 68

Morbidly Adherent Placenta p. 69

Chapter 5 Ultrasound in the Second and Third Trimesters p. 75

Indications for Second- and Third-Trimester Standard Scans p. 75

Standard Second- and Third-Trimester Examination p. 76

Fetal Biometry p. 76

Fetal Biparietal Diameter p. 77

Head Circumference p. 77

Fetal Femur Length p. 78

Abdominal Circumference p. 79

Fetal Weight and Growth Predictions p. 79

The Fetal Anatomic Survey p. 81

Deviations from Normal Fetal Anatomy p. 81

Fetal Head p. 82

Lateral Ventricles p. 82

Choroid Plexus p. 82

Cerebellum p. 82

Cisterna Magna p. 83

Spine p. 83

Chest and Heart p. 84

Abdomen p. 84

Kidneys p. 86

Bladder p. 86

Other Views and Measurements p. 86

Sonographic Assessment of Amniotic Fluid p. 87

The Placenta p. 87

Placenta Previa p. 88

Morbidly Adherent Placenta p. 90

Placental Abruption p. 91

Differentiating Placental Tissue from Other Structures p. 93

Placental Calcifications p. 94

Placental Lakes p. 94

Postpartum Retained Placenta p. 94

Maternal Cervical Length Measurement p. 95

Measuring Cervical Length p. 96

Chapter 6 Ultrasound Evaluation of Fetal Well-Being p. 107

The Biophysical Profile p. 107

Biophysical Profile Parameters p. 109

Fetal Heart Reactivity p. 110

Fetal Tone p. 110

Fetal Movement p. 110

Fetal Breathing Movements p. 110

Amniotic Fluid Volume p. 111

Sonographic Techniques for Amniotic Fluid Assessment p. 112

Management Strategies for Oligohydramnios and Polyhydramnios p. 114

Assessment and Scoring of the BPP p. 115

Application and Management of BPP Results p. 115

Modified Biophysical Profile p. 116

POC Biophysical Profile Procedure p. 117

Other Indications for POC Amniotic Fluid Assessment p. 117.

Notes:

Includes bibliographical references and index.

Electronic reproduction. Ann Arbor, MI Available via World Wide Web.

Description based on online resource; title from digital title page (viewed on March 04, 2019).

ISBN:

9781284168464

1284168468

Publisher Number:

99983049628

Access Restriction:

Restricted for use by site license.