Test Purpose Significance
To determine blood type Identifies possible causes of incompatibility
Blood grouping Hgb
with <
the11g/dl
fetus in the1st
that may&cause
3rd trimesters
jaundice or <
anddetect
To Rh anemia; often
checked several times 10.5 g/dl in the 2 tri may indicate a for
nd
Hgb and Hct additional ironorsupplementation.
during pregnancy
To detect infection, 12,000/mm3 more WBC or decreased
anemia, or cell platelets require follow –up.
CBC abnormalities
If mother is Rh-negative and father is Rh-
Rh factor and To check for maternal- positive or antibodies are present, additional
antibody screen fetal blood incompatibility testing and treatment are required; if Rh and
To determine immunity
unsentisized, RhoGam will be given at 28
weeks.
To screen for syphilis Treat if results are positive; retest at 36
VDRL weeks
If titer is 1:8 or less, mother is not immune;
immunize postpartum if not immune
Rubella titer
Hgb Electropho- To screen for sickle cell
trait if client is African – if mother is positive, check partner, infant is at
resis risk only if both parents are positive
American descent
To detect presence of If present, infants should be given hepatitis
Hepatitis B antigens in maternal immune globulin and vaccine soon after birth.
screen blood
Voluntary test Positive results require retesting, counseling,
encouraged at first visit and treatment to lower infant infection
HIV Screen to detect HIV antibodies
To detect renal disease or Requires further assessment if positive for more
Urinalysis infection than a trace protein (renal damage,
preeclampsia or normal) Ketones (fasting or
dehydration), or bacterial (infection)