A nurse is caring for a client at 18-weeks gestation and will be assisting with a scheduled amniocentesis. Identify four (4) nursing actions associated with the procedure

When caring for a client at 18 weeks gestation who is undergoing an amniocentesis, the nurse should take the following actions:When with a client at 18 weeks gestation receiving an amniocentesis the following actions should be taken by the nurse:

 Obtain Informed Consent:

 All the cases should have consent of the client, whereby the client should be in a position to understand on the procedure to be undertaken together with the possible risks and benefits of the procedure. Before proceeding further ensure that the client filled out and signed the consent form.

 Prepare the Client Physically and Emotionally:Mentally and Physically Get the Client Ready:

 The client should be educated on the likely feelings that he or she is likely to experience before, during and after the procedure and some of the perceived discomforts. Soothe the client and ensure they are well seated to reduce discomfort and as much anxiety as possible from the procedure.

 Monitor Maternal and Fetal Vital Signs:Assess Maternal and Fetal Vital Signs:

 Following procedure e monitor the maternal vitals and the fetal heart rate in order to observe any reaction the ObstetricEmergency may cause on the mother. This include monitoring of signs of contractions or fetal distress.

 Assist with the Procedure and Provide Post-Procedure Care:Actually perform the Procedure and After the Procedure:

 Facilitate the healthcare provider in an amniocentesis by following up on the clearing of all instruments and choosing the exact position of a patient. The nurse should therefore counsel the client to present to the hospital on early indicator of any complication such as bleeding, cramping, leakage of fluid among others. Provide the client with guidelines of any other signs symptoms to look out for after the exercise in a case of an emergency and what to do after.

 References:

 Cunningham, F. G. , Leveno, K. J. , Bloom, S. L. , Spong, C. Y. , Dashe, J. S. , Hoffman, B. L. & Shaw, J. S. (2018). Williams Obstetrics. 25th ed. McGraw-Hill Education.

 Obstet Gynecol. (2020). Practice bulletin No. 226: Amniocentesis and chorionic villus sampling. J Obstet Gynaecol Can Vol. 52, No. 5, May 2010 pp 149–164