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URINE TESTS
One of the first laboratory tests to obtain [ preferably before beginning the physical examination] is the clean catch midstream urine specimen = which will be tested for
Glucose [ to assess for diabetes] Protein [ to assess for PIH] Nitrites and Leukocytes [ to assess for infection]
BLOOD TESTS Initial prenatal blood tests include: CBC [Complete Blood Count] Blood type RH Status
Time of Test in Pregnancy Initial OB visit & 8 weeks for Rh negative females Initial OB visit & 36 weeks
Special Teachings If not her first pregnancy, inquire about previous Rh immune globulin if Rh - , RhoGAM administration Eat iron-rich foods Report any bleeding
33 to 44%
Outside range
Initial OB Hemoglobin visit & 36 weeks RBC Initial OB visit Initial OB visit
11 to 14g/dl
Outside range
100 to 400g/dl 3
Outside range Outside range Outside range Positive Confirmed by further testing:
Red cell indices will also be examined to R/O hemoglobinopathies Report signs of infxn Report abnormal bleeding of gums, Bruising Specific informed consent Obtained prior to testing. Advise of dramatic decrease of vertical
WBC
Platelets
HIV
Negative
Western Blot
Hepatitis B
Initial OB visit
Negative
Positive
[mother to child] transmission with medication] Inform client of sexual transmissibility. Explain importance of prophylaxis for infant. Educate client about infxn. Empathetic listening if positive. Stress importance of compliance And partner treatment.
Gonorrhea
Initial OB visit
Negative
Positive
Rubella Titer
[ German Measles]
Initial OB visit
Immune
Recommend maternal Nonimmun immunization after e birth. Stress the avoidance of pregnancy for 3 mos. after immunization. Avoid
First trimester exposure to infxn due to risk of congenital rubella syndrome Urinalysis Initial OB visit Negative Presence of protein, glucose, ketones, RBCs, WBCs Refrain from Epithelial intercourse or cell douching 2 to 3 days abnormalitie prior to test [for s accuracy]. Or neoplasm Discuss individualized schedule of testing. Client can decide whether gender of child should be Abnormal revealed; some ultra sound studies require vaginal probe; nuchal
ou
Papanicola Smear
Initial OB visit
Negative
Ultrasound
Normal
on rationale