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Interpret diagnostic tests

Learner Task: Identify additional problems found in the patient based on the diagnostic test results.
Educator Script: Provide the following diagnostic tests results to the learner (if ordered in the previous task):

Diagnostic Test Result
Urinalysis or urine dip 3+ protein
Urine protein: creatinine ratio or 24-hour urine protein Ratio: 0.6
24-hour urine: 531 mg
Complete blood count WBC=10.4, Hgb=8, HCT=25.1, platelets=101,000
Metabolic profile/chemistry Na=142, Cl=106, K+=3.5, BUN=12, Cr=0.7, glucose=112
Liver function tests AST=102, ALT=96
Blood type and antibody screen A+, negative screen
Syphilis screening negative
HIV screening negative
Hepatitis screening negative
Gonorrhea/chlamydia screening negative
Group B strep screening negative
Rubella immunity testing immune
Diabetes screening (GCT or A1C) GCT=122
Nonstress test or biophysical profile reactive
Ultrasound for fetal growth EFW=2183 g (<10%ile), cephalic, AFI=13 cm

Educator Checklist: Interpret Diagnostic Tests
Mark the appropriate column to indicate whether the learner included each element in his or her response. When completed, tally the “Included” column to calculate the learner’s score.

Included =1 Not included =0
Anemia: recognizes low Hemoglobin/HCT
Proteinuria: recognizes the protein, creatinine, or 24-hour urine collections are abnormal
Fetal growth restriction: recognizes the growth restriction
Elevated liver function tests: recognizes elevated liver function tests