Antenatal Care: Routine Labs

by Veronica Gillispie, MD, FACOG

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    So now let's discussed routine screening in pregnancy. So here's a case. A 23 year old G1 P0 intrauterine pregnancy at 8 weeks and 5 days presents for her initial prenatal visit. Which of the following test would you not order as part of her routine pintail prenatal labs? A. Complete blood count. B. Maternal serum alpha-fetoprotein. C. Blood type and Rh factor. or D. Human immunodeficient Virus (HIV) status. Let's go throughout the lecture to find that answer. So initial prenatal visit routine screening this is actually discussed in another lecture slide. But we'll go through this briefly. First, blood type and Rh factor. We do want to know a patient's blood type and if they are Rh negative or Rh positive. Why is that? Well if the patient is Rh negative and the baby, remember whose blood type we don't know is Rh positive. Mom can make antibodies against positive blood types and during her next pregnancy if that baby is positive, those antibodies will go and attack that pregnancy. So we want to know that we can do preventive things during the pregnancy, so that those antigens and antibodies don't cross. So complete blood count. We want to establish a normal hemoglobin hematocrit for the beginning of pregnancy. Because we do know that physiologically, pregnant women do experience anemias. So we want to know where they are starting. So during our initial prenatal visit routine screening, there are some infections that we need to screen for. Let's talk about these in a little detail. First is rubella. Now most women are rubella immune because they did receive vaccinations as children. However, sometimes even with the vaccines, we do not build up the immunity to rubella. And to contract rubella during pregnancy can means some adverse outcomes for...

    About the Lecture

    The lecture Antenatal Care: Routine Labs by Veronica Gillispie, MD, FACOG is from the course Antenatal Care. It contains the following chapters:

    • Routine Screening in Pregnancy
    • Initial Prenatal Visit Routine Screening
    • Routine Screening Throughout Pregnancy

    Included Quiz Questions

    1. PAP smear
    2. Blood Type
    3. Rh Factor
    4. Complete blood count
    5. HIV screening
    1. Syphillus screening
    2. HIV screening
    3. Rubella immunity screening
    4. PAP smears
    5. Hepatitis B screening
    1. Anatomy ultrasound
    2. Maternal serum alpha-fetoprotein level
    3. Anti-D level
    4. Gestational Diabetes
    5. Rectovaginal group B beta-streptococcus screening
    1. Rhogam protects subsequent pregnancy from maternal antibodies against Rh positive blood type.
    2. Rhogam protects the current pregnancy from autoimmunity against Rh positive blood type.
    3. Rhogam protects the current fetus from also being Rh-negative.
    4. Rhogam protects the mom from Rh-positive blood type.
    5. Rhogam protects the mom from fetal antibodies.
    1. During the third trimester
    2. During the first trimester
    3. During the second trimester
    4. During preconception councelling
    5. After delivery
    1. Soon after delivery
    2. Immediately in the first trimester, as rubella can have serious negative effects on the fetus
    3. During the second trimester
    4. During the third trimester to pass immunity on to the fetus
    5. Immediately prior to any subsequent pregnancies in the future
    1. Between 35 and 37 weeks gestational age
    2. At 40 weeks gestational age
    3. Between 10-12 weeks gestational age
    4. During the first AND third trimesters
    5. Between 24 and 28 weeks gestational age

    Author of lecture Antenatal Care: Routine Labs

     Veronica Gillispie, MD, FACOG

    Veronica Gillispie, MD, FACOG

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    very helpful but it would be more if there is a more vivid descriptions
    By biswajit d. on 24. February 2017 for Antenatal Care: Routine Labs

    very helpful but it would be more if there is a more vivid descriptions