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Labs: Hemoglobin, Rh factor, CBC, gonorrhea culture, HIV screen, pap
smear, sickle cell screen,, rubella titer, syphilis STS (syhilis tests for
syphilis) VDRL (venereal disease research lab)
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Hep B
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Urinalysis – Protein,
glucose dipstick each visit
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Ongoing labs – hemogolbin,
triple screen –16-18 wks – maternal serum alpha-fetoprotein, estriol, and hCG
– Elevated AFP r/t neural tube defect, underestimated GA, multiple gestation,
Rh disease. Low AFP r/t trisomy 21,
18. Elevated hCG combined with low
estriol and AFP r/t Down syndrome
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glucose (24-28 wks, 50g 1 hr
screen
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Group Beta Strep vaginal and
rectal culture at 35-37 wk Antibiotic
in Labor. Must be at least 4 hrs prior
to delivery
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See hand out in back of
syllabus: T- Toxoplasmosis, O – other GBS, UTI, candidiasis,
chlamydia, syphilis, gonorrhea, R – rubella, anomalies in fetus, C
– Cytomegalovirus, microcephaly, hydrocephaly, retardation, poor growth, or may have no
effect, H – herpes simplex virus
problem with fetus if delivered past active lesion. Develops herpes, 60% die, other have neuro
compromise.
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