Hi FairyGirl, I recently asked a similar que because I was so tired of doing blood tests! There are a few tests that they do as part of general prenatal care and other tests are optional.
At first they do an initial tests to analyse the following:
-blood type, Rh factor
-iron deficiency etc.
-gestational diabetes
-immunity to certain diseases
-whether she has a sexually transmitted disease (STD) or cervical cancer
Between 16-18 weeks they usually do a 2nd blood test to identify high risks of down syndrome. Then usually around 20 weeks you get a very detailed ultrasound where they look for abnormalities and any other potential problems.
With regards to the extra testing, they are usually optional. However if you fit into any of the below categories they may recommend more.
-are age 35 or older
-have had a premature baby
-have had a baby with a birth defect — especially heart or genetic problems
-have high blood pressure, diabetes, lupus, asthma, or a seizure disorder
-have a family history of mental ******ation (or a partner who does)