Common Prenatal Laboratory Tests Flashcards
What is the purpose, procedure and nursing actions for a complete blood cell count (CBC)?
- Purpose
- Cheks for anemia
- Procedure
- Venous blood draw
- Nursing actions
- Explain test to patient
- No need for special preparation
What is the purpose, procedure and nursing actions for Blood Typing?
- Purpose
- Determines woman’s blood type and RH status
- Procedure
- Venous blood draw
- Nursing actions
- Explain test to patient.
- No need for special preparation.
What is the purpose, procedure and nursing actions for Rubella Titer?
- Purpose
- Detects antibodies for the virus that causes measles
- Procedure
- Venous blood draw
- Nursing Actions
- Explain test to patient. No need for special preparation.
What is the purpose, procedure and nursing actions for Hepatitis B, HIV, & toxoplasmosis?
- Purpose
- Determines if mother has specific infection
- Procedure
- Venous blood draw
- Nursing actions
- Explain test to patient.
- No need for special preparation.
What is the purpose, procedure and nursing actions for Gonorrhea and Chlamydia?
- Purpose
- Detects asymptomatic infection at first visit.
- Procedure
- Cervical Culture
- Nursing actions
- Explain test to patient that vaginal exam is required.
- Should be done again during third trimester
What is the purpose, procedure and nursing actions for PAP test?
- Purpose
- Screens for cervical intraepithelial neoplasia
- Procedure
- Cervical Culture
- Nursing action
- Explain test to patient that vaginal exam is required.
What is the purpose, procedure and nursing actions for Syphilis (VDRL)?
- Purpose
- Detects syphilis
- Procedure
- Venous blood draw
- Nursing action
- Explain test to patient.
- No need for special preparation.
What is the purpose, procedure and nursing actions for Group Beta Streptoccocus (GBS)?
- Purpose
- Done between 35 - 37 weeks.
- Determines if GBS present
- Procedure
- Cervical and anal culture
- Nursing action
- Explain to patient that GBS can be carried in her intestines and does not affect her.
- If positive, can be dangerous for baby and patient will need to be treated with IV antibiotics during labor to prevent infection in baby
What is the purpose, procedure and nursing actions for 1 hour Glucose tolerance test (OGTT)?
- Purpose
- Done between 24-28 weeks’ gestation. If at high risk, will do at first prenatal visit.
- Determines if mother is gestational diabetic
- Procedure
- Venous blood draw
- Nursing action
- Explain test to patient. Patient does not need to be NPO before test.
- Must drink a sweet 50gm glucose liquid and then get blood drawn 1 hour later.
What is the purpose, procedure and nursing actions for 3 hour Glucose tolerance test (OGTT)?
- Purpose
- Done if one hour glucose test was above normal limits
- Procedure
- Venous blood draw
- Nursing action
- Explain test to patient.
- Patient must be NPO overnight before test.
- Must drink a sweek 100gm glucose liquid and then get blood drawn 1,2,3 hours later.
What is the purpose, procedure and nursing actions for a Urinalysis?
- Purpose
- Determines glycosuria, infection, and hypertensive diseases of pregnancy
- Procedure
- Urine sample is obtained with every visit
- Nursing action
- Nurse evaluates urine using dipstick method and checks for glucose, blood, and protein
An abdominal ultrasound is scheduled in the first trimester to detect missed abortion, ectopic pregnancy, evaluate uterine structures, confirm intrauterine pregnancy, and estimate gestational age.
Will this require a full or empty bladder?
This procedure will require a full bladder for better visualization.
What is the female hemoglobin range?
12-16 g/dL
What is the female hematocrit range?
What is the typical WBC range?
4.5-11
