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Obstetric and Gynecological Nursing - The Carter Center

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stretched <strong>and</strong> shiny with marked strike gravidarum <strong>and</strong><br />

obvious superficial blood vessels.<br />

On palpation- the uterus feels tense <strong>and</strong> it is difficult to feel<br />

the fetal parts but the fetus may be balloted between the two<br />

h<strong>and</strong>s.A fluid thrill may be elicited.<br />

Ascultation auscultation of the fetal heart is difficult because<br />

the quantity of fluid allows the fetus to move away from the<br />

fethoscope.<br />

- Ultrasonic scan may be used to confirm the diagnosis <strong>and</strong><br />

may reveal a multiple pregnancy or fetal abnormality.<br />

Management<br />

<strong>The</strong> cause of the condition should be determined if possible<br />

the mother will usually be admitted to a consultant obstetric<br />

unit.<br />

Subsequent care will be depending on:<br />

- the mother’s condition<br />

- cause of the polyhydramnios<br />

- the stage of pregnancy<br />

<strong>The</strong> general condition of the fetus will be taken in to<br />

consideration in choosing the mode <strong>and</strong> timing of delivery.<br />

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