Antepartum care (third trimester) Quiz: Ace Your Exams
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A 30-year-old primigravid non-binary patient presents to the clinic for a routine prenatal visit at 28 weeks estimated gestational age (EGA). Since their last appointment 4 weeks ago, they have not experienced any contractions, loss of fluid, vaginal bleeding, or decreased fetal movement. Medical history is notable only for obesity, with a pre-pregnancy body mass index (BMI) of 32 kg/m2. The patient has gained 12 lb. (6.3 kg) so far during this pregnancy. Socially, the patient is in a stable, monogamous relationship with their partner, who fathered this pregnancy. Temperature is 36.5°C (97.8°F), pulse is 78/min, respirations are 16/min, and blood pressure is 114/76 mmHg. The fundal height is 29 cm, and the fetal heart rate is 145/min. Results of the patient’s first trimester lab work are shown below in the table. Screening questionnaires for depression and intimate partner violence are negative today. In addition to a complete blood count (CBC), type and screen (T&S), and urine culture, which of the following are indicated at this visit?
| Test | Result |
| Blood type | A-negative |
| Antibody screen | Negative |
| CBC | Within normal limits |
| Urine culture | 10,000 CFU group B Streptococcus (GBS) |
| Oral glucose tolerance test (OGTT) | Within normal limits |
| Human immunodeficiency virus (HIV) | Negative |
| Rapid plasma reagin (RPR) | Non-reactive |
| Hepatitis B surface antigen (HepBsAg) | Negative |
| Rubella | Non-immune |
| Varicella | Immune |
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