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What are the initial routine screening tests recommended for pregnant individuals according to the chapter on Prenatal Genetic Screening and Diagnosis?

The initial routine screening tests for pregnant individuals include a complete blood count with platelets, blood type with antibody screen, hepatitis B surface antigen, rubella immunity, syphilis serology, HIV antibody with consent, and urine culture with sensitivities. Cervical cancer screening is also conducted if indicated.

The chapter on Prenatal Genetic Screening and Diagnosis outlines several initial routine screening tests for pregnant individuals. These tests include a complete blood count with platelets and mean corpuscular volume to assess for anemia and low platelets, a blood type with antibody screen to identify rhesus-negative individuals and rule out Rh sensitization, and a hepatitis B surface antigen test to determine HBV status. Additionally, rubella immunity is checked to counsel nonimmune individuals, syphilis serology is conducted to identify active infections, and an HIV antibody test is performed with consent to refer HIV-positive individuals for specialist co-management. A urine culture with sensitivities is also included to identify and treat bacteriuria, reducing the risk of pyelonephritis and preterm birth. Cervical cancer screening is performed if indicated based on individual risk factors.

Key points

  • Complete blood count with platelets and MCV to assess anemia and low platelets.
  • Blood type with antibody screen to identify rhesus-negative individuals.
  • Hepatitis B surface antigen test to determine HBV status.
  • Rubella immunity check to counsel nonimmune individuals.
  • Syphilis serology to identify active infections.
  • HIV antibody test with consent for specialist referral if positive.
  • Urine culture with sensitivities to identify and treat bacteriuria.
Source:Collins-Bride & Saxe’s Clinical Guidelines for Advanced Practice Nursing· Prenatal Genetic Screening and Diagnosis· p. 606–608
Cover of Collins-Bride & Saxe’s Clinical Guidelines for Advanced Practice Nursing

Collins-Bride & Saxe’s Clinical Guidelines for Advanced Practice Nursing

Joo, Yoonmee;Gatewood, J. V.;Israel, Mary Anne M.;Wong McGrath, Kelly;

FOURTH EDITION · Jones & Bartlett Learning

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