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Understanding Your Laboratory Test: A Patient Guide to Testing and Results

Published: August 9, 2026Updated: August 16, 2026

A prenatal screening test that combines blood markers and ultrasound to assess the risk of chromosomal abnormalities in the baby.

Quick summary

{"Performed between 11-13 weeks of pregnancy","Combines blood test and nuchal translucency ultrasound","Screens for risk of Down syndrome and other chromosomal conditions","Not diagnostic - only indicates risk level","Results help guide further testing decisions"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
49086-2
Short code
1st trimester scn+NT Pnl Patient
Synonyms
1st trimester scn+NT Pnl Patient
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

This test helps your healthcare provider evaluate how your body is functioning and look for signs of illness or infection. It is a common procedure that provides important information used to diagnose a condition, monitor an ongoing health problem, or guide decisions about your treatment plan.

The first trimester maternal screen with nuchal translucency is a prenatal screening test performed between 11 and 13 weeks of pregnancy. It combines two components: a blood test measuring pregnancy-related hormones and proteins, and an ultrasound measurement called nuchal translucency (NT), which measures the fluid buildup at the back of the baby's neck.

A trained member of our medical team will collect the required sample, which is usually a small amount of blood, urine, or another body fluid, following standard clinical procedures. The collection itself typically takes only a few minutes, and the sample is then sent to the laboratory for careful analysis by trained specialists.

The test involves two parts: First, a blood sample is taken from the mother's arm to measure levels of Pregnancy-Associated Plasma Protein A (PAPP-A) and free beta-hCG. Second, an ultrasound is performed to measure the nuchal translucency - the clear space at the back of the baby's neck. Babies with chromosomal conditions often have more fluid in this area. The results from both tests, along with your age and other factors, are combined to calculate your risk assessment.

Your results will be compared with established reference ranges to show whether your values fall within normal limits. Keep in mind that abnormal results do not always indicate a serious problem. Your doctor will review the findings with you, explain what they mean for your health, and discuss any follow-up testing or treatment that may be needed.

This test provides a risk assessment, not a definitive diagnosis. A "screen positive" result means your baby has a higher risk for certain conditions, but does not mean your baby definitely has a problem. Conversely, a "screen negative" result means your baby has a lower risk, but does not guarantee a healthy baby. Your healthcare provider will explain your specific results and discuss whether additional diagnostic testing (such as chorionic villus sampling or amniocentesis) is recommended.

This test is considered very safe, and serious complications are rare. You may experience minor, temporary discomfort, such as a brief sting during sample collection, slight bruising, or mild soreness at the site. Please tell your care team beforehand if you have a bleeding disorder, take blood thinners, or have any known allergies.

This is a screening test with no known risks to the mother or baby. The blood draw may cause minor bruising or discomfort, and the ultrasound uses sound waves which are considered safe during pregnancy. The test does not increase the risk of miscarriage.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

This screening helps identify pregnancies at higher risk for chromosomal abnormalities including Trisomy 21 (Down syndrome), Trisomy 18 (Edwards syndrome), and Trisomy 13 (Patau syndrome). Early detection allows parents and healthcare providers to plan for appropriate care and additional testing. The test can also identify pregnancies at risk for other conditions, as abnormal nuchal translucency measurements may sometimes indicate heart defects or other structural issues.

Frequently asked questions

Is this test mandatory?
No, this is a voluntary screening test. All prenatal screening and diagnostic tests are optional. Your healthcare provider will discuss the benefits and limitations so you can make an informed decision that aligns with your personal values and preferences.
How long does it take to get results?
Results are typically available within one week, though this may vary depending on the laboratory. Your healthcare provider's office will contact you with the results and schedule a follow-up discussion.
What happens if my result is positive?
A positive screen does not mean your baby has a chromosomal condition. It indicates a higher risk. Your provider may recommend additional diagnostic testing such as chorionic villus sampling (CVS) at 10-13 weeks or amniocentesis at 15-20 weeks to obtain a definitive diagnosis. A genetic counselor can help you understand your options and make informed decisions.
Can I eat or drink before this test?
Yes, you can eat and drink normally before the blood test. Unlike some other blood tests, fasting is not required for the first trimester screen.
What if I'm past 13 weeks pregnant?
If you are beyond 13 weeks, the nuchal translucency portion cannot be performed as reliably. However, you may still have the serum blood markers done as part of the first trimester screen, or your provider may recommend second-trimester screening options instead.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy