NCM 107 (CARE OF MOTHER, CHILD, ADOLESCENT)

Antepartum Diagnostic Testing

The usual schedule for antepartum health care visits is every 4 weeks for the first 28 to 32 weeks, every 2 weeks from 32 to 36 weeks,
and every week from 36 to 4 weeks.

Listed below are the different diagnostic testing done to pregnant women. Complete the table by filling out the columns of each test.

Test What is tested

1.Blood type and Rh factor  The Rh factor test is a routine test during pregnancy. It's usually conducted when your blood sample is taken
during your first prenatal care visit. The results will determine if your blood has "Rh factor"—a protein on the
surface of red blood cells. If your blood type is positive (for example, A positive or O positive), you have the Rh
factor; if it's negative, you do not.

2.Rubella titer  Rubella IgG serology testing is routinely performed during prenatal care to assess a pregnant woman's immunity to
rubella, also known as German measles. This test helps determine whether the pregnant woman has previously been
exposed to the rubella virus or has been vaccinated against rubella.

3. Hemoglobin and  A Hemoglobin Test measures the amount of hemoglobin in your blood. Hemoglobin is a protein in your red blood
hematocrit cells that carries oxygen to your body's organs and tissues and transports carbon dioxide from your organs and
tissues back to your lungs.If a hemoglobin test reveals that your hemoglobin level is lower than normal, it means
you have a low red blood cell count (anemia). If a hemoglobin test shows a higher than normal level, there are
several potential causes — the blood disorder polycythemia vera, living at a high altitude, smoking and dehydration.

 A Hematocrit Test measures the proportion of red blood cells in your blood. Red blood cells carry oxygen
throughout your body. Having too few or too many red blood cells can be a sign of certain diseases. Hematocrit test,
also known as a Packed-cell volume (PCV) test, is a simple blood test.

4. Papanicolaou’s smear  A Pap smear, also called a Pap test, is a procedure to test for cervical cancer in women. A Pap smear involves
collecting cells from your cervix — the lower, narrow end of your uterus that's at the top of your vagina.

5. Sexually Transmitted  Sexually Transmitted Infections (STIs), also known as Sexually Transmitted Diseases (STDs), can be of
Infection concern during pregnancy because they can affect both the pregnant woman and her unborn child. Testing for STIs
during pregnancy is a routine part of prenatal care to identify and treat infections that could harm the mother or
baby.

6. Sickle Cell screening  Sickle Cell Screening involves testing the pregnant woman's blood to determine if she carries the sickle cell trait.
Individuals with one normal hemoglobin gene (HbA) and one abnormal sickle hemoglobin gene (HbS) have the
sickle cell trait. This means they do not have the disease but can pass the gene for it to their children.

7. Tuberculin Skin test  Tuberculin Skin test standard method of determining whether a person is infected with Mycobacterium
tuberculosis.

8. Hep B Surface Antigen  The Hepatitis B Surface Antigen (HBsAg) test is routinely performed on pregnant women as part of prenatal care.
This blood test is conducted to assess whether a pregnant woman is infected with the hepatitis B virus or is a carrier
of the virus.

9. Urinalysis and urine  Urinalysis is a standard and routine test performed during prenatal care for pregnant women. This test involves
culture analyzing a urine sample to assess various aspects of the woman's health and to monitor her pregnancy.
 Urine Culture Test is a practice to find the type of bacteria present in the urine so that the doctor can provide you
with the correct type of antibiotics for treating that infection.

10. Ultrasonography  Ultrasonography, commonly referred to as ultrasound, is a medical imaging technique that uses high-frequency
sound waves to create images of the internal structures of the body. During pregnancy, ultrasound examinations are
commonly performed to monitor the development and well-being of the fetus.

11. Biophysical profile  A Biophysical profile test is a noninvasive test that doctors use to evaluate fetal movement, breathing, heart
rate, amniotic fluid, and muscle tone.
12. Doppler Blood flow
13. Percutaneous Umbilical
blood sampling
14. Alpha-fetoprotein
screening
15. Chorionic villi sampling
16. Amniocentesis
17. Kick counts
18. Fern Test
19. Nitrazine test
20. Non-stress test
21. Contraction stress test
 A Doppler ultrasound is a noninvasive test that can be used to estimate the blood flow through your blood vessels
by bouncing high-frequency sound waves (ultrasound) off circulating red blood cells.
 Cordocentesis is a prenatal test that takes a sample of blood from a fetus’s umbilical cord to detect abnormalities. It
can diagnose certain problems before a baby is born, such as genetic mutations (changes), blood diseases and
infections. In addition, the procedure can deliver medications or blood transfusions to a fetus through the umbilical
cord.
 An AFP test is a test that is mainly used to measure the level of alpha-fetoprotein (AFP) in the blood of a pregnant
person. The test checks the baby's risk for having certain genetic problems and birth defects. An AFP test is usually
done between 15 and 20 weeks of pregnancy.
 Prenatal Diagnostic Test that checks for a genetic or chromosomal condition during the first trimester of
pregnancy. With this test, doctors look at cells from the lining of the placenta to determine the health of the baby.
CVS will test for conditions such as:
 cystic fibrosis
 Down syndrome (trisomy 21)
 Duchenne muscular dystrophy
 Edwards syndrome (trisomy 18)
 Patau syndrome (trisomy 13)
 phenylketonuria (PKU)
 sickle cell anemia
 Tay-Sachs disease
 thalassemia
 Amniocentesis involves taking a sample of amniotic fluid and testing the DNA from the cells for diagnosis of
certain conditions, such as Down syndrome.
 To look for infection or other illness in the baby.
 Counting kicks (fetal movement counting) in pregnancy is a way to monitor the fetus. It involves expectant
parents tracking fetal kicks and movements during development in your uterus. Changes in movement patterns can
sometimes indicate the fetus is under stress. Knowing the fetus's normal movement patterns can help you sense
when something seems off.
 Fern Test, also known as the Ferning Test or Fern Test of Amniotic Fluid, is a clinical diagnostic test that is
sometimes used during pregnancy to assess whether a woman's amniotic sac has ruptured, causing a leakage of
amniotic fluid.
 Nitrazine test is a pH-based sterile swab to aid in detecting rupture of amniotic membrane in pregnant women used
by qualified medical personnel ONLY.
 A Non-stress test (NST or fetal Non-stress test) is a pregnancy screening that measures fetal heart rate and
reaction to movement.
 Contraction stress test checks your baby for signs of stress during uterine contractions. During the test, your
healthcare provider gives you a hormone that makes your uterus contract.