Ultrasound Assessment of Fetal Growth

Sonography Fundamentals

Materials Included

Text
Video
Anatomy
Simulation
Quiz

Obstetric ultrasound is the most powerful way to assess the fetus. This module teaches you how to prepare for and perform an ultrasound assessment of fetal growth and high-risk pregnancies.

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Obstetric ultrasound is the most powerful way to assess the fetus. This module teaches you how to prepare for and perform an ultrasound assessment of fetal growth and high-risk pregnancies. The interactive simulator provides three different scan scenarios that you might encounter in a clinical situation. The module enables students and practitioners to build or refresh knowledge and cognitive skills, and offers a safe online practice environment so you can prepare for the real clinical world. It is ideal if you are studying for the American Registry for Diagnostic Medical Sonography (ARDMS) registry exams.

You’ll learn

to practice, perfect and test your skills in performing an ultrasound scan to assess fetal growth and high risk pregnancies
to better visualize and understand the key structures and components of the fetus at various stages of development during the second and third trimesters, with our 3D model and illustrations
the criteria and testing of fetal well-being, including the biophysical profile
how to evaluate normal and abnormal findings relating to the amniotic fluid, placenta, and umbilical cord, and abnormalities that may occur with multiple pregnancies
how intrauterine growth restriction is evaluated by ultrasound
about peri- and post-pregnancy maternal diseases and complications and how to compare immune and non immune hydrops
much more (see “content details” for more specific information).

Introduction

Step 1 - Preparation

Step 1.1 - Equipment preparation

Step 1.2 - Patient preparation

Step 1.3 - Operator preparation

Step 2 - Expose the lower abdomen and apply the gel

Step 3 - Select the transducer

Step 4 - Commence the growth and high-risk pregnancy scanning protocol

Step 4.1 - Patient position

Step 4.2 - Scan plane

Step 4.2.1 - Transabdominal scan plane

Step 4.2.2 - Endovaginal scan plane

Step 4.3 - Standard second and third trimester protocol image requirements

Step 4.3.1 - Fetal lie, life, number, presentation, and situs

Step 4.3.2 - Maternal uterus and adnexae

Step 4.3.3 - Amniotic fluid and placental location

Step 4.3.4 - Fetal biometry

Step 4.3.5 - Fetal anatomy

Step 4.4 - Annotations required

Step 4.5 - Troubleshooting

Step 5 - Overview of second and third trimester routine ultrasound examination

Step 6 - Perform targeted scan relevant to clinical condition of fetus and/or mother

Step 6.1 - Scan for multiple pregnancy

Step 7 - Scan for intrauterine growth restriction

Step 7.1 - Fetal biometry, growth, and weight

Step 7.2 - Doppler studies

Step 8 - Scan for amniotic fluid and membranes

Step 8.1 - Calculate the amniotic fluid volume

Step 9 - Scan for placenta and umbilical cord abnormalities

Step 9.1 - Placenta

Step 9.2 - Umbilical cord

Step 10 - Scan for fetal biophysical profile

Step 11 - Scan for fetal complications of maternal disease

Step 11.1 - Fetal hydrops

Step 11.2 - Maternal diabetes

Step 11.3 - Maternal hypertension and pre-eclampsia

Step 11.4 - Other maternal diseases

Step 12 - Scan for premature labor

Step 12.1 - Cervical assessment

Step 13 - Complete the procedure

Describe and demonstrate how to evaluate normal and abnormal findings relating to the amniotic fluid, placenta, and umbilical cord.
Describe the use of Doppler in evaluating fetoplacental circulation.
Give the criteria and demonstrate the testing of fetal well-being, including the biophysical profile.
Describe techniques for the sonographic evaluation of high-risk pregnancies including multiple gestations.
List and describe peri- and post-pregnancy maternal diseases and complications and be able to compare immune and non immune hydrops.
Explain how intrauterine growth restriction is evaluated by ultrasound.
Describe and recognize on images abnormalities that may occur with multiple pregnancies.
Define and use related medical terminology.
Explain the Patient Privacy Rule (HIPAA) and Patient Safety Act.

The SIMTICS modules are all easy to use and web-based. This means they are available at any time as long as the learner has an internet connection. No special hardware or other equipment is required, other than a computer mouse for use in the simulations. Each of the SIMTICS modules covers one specific procedure or topic in detail. Each module contains:

an online simulation (available in Learn and Test modes)
descriptive text, which explains exactly how to perform that particular procedure including key terms and hyperlinks to references
2D images and a 3D model of applied anatomy for that particular topic
a step by step video demonstration by an expert
a quiz
a personal logbook that keeps track of all the modules the learner has studied and how long