PROM and PPROM > Maternal & Newborn
Exam Review
Clinical manifestations and Diagnostic tests
Total Questions : 5
Showing 5 questions, Sign in for moreA nurse is caring for a client who has PPROM at 32 weeks of gestation.
Which of the following findings should alert the nurse to the possibility of chorioamnionitis?
Explanation
Maternal temperature of 38.2°C (100.8°F).This is because a high maternal temperature is a sign ofchorioamnionitis, which is a serious infection of the placental tissues that can occur in patients withPPROM(preterm premature rupture of membranes).Chorioamnionitis can be very dangerous for both mother and baby and requires immediate treatment with antibiotics and delivery.
A nurse is performing a nitrazine paper test on a client who reports fluid leaking from the vagina.
The nurse observes that the paper remains yellow after contact with the fluid.
How should the nurse interpret this result?
Explanation
This is because the nitrazine paper test involves putting a drop of fluid obtained from the vagina onto paper strips containing nitrazine dye.
The strips change color depending on the pH of the fluid.The strips will turn blue if the pH is greater than 6.0, which is indicative of amniotic fluid.However, if the paper remains yellow after contact with the fluid, it means the pH is less than 6.0, which is indicative of urine or vaginal secretions.
Normal ranges for pH of vaginal fluid are 3.8 to 4.5, while normal ranges for pH of amniotic fluid are 7.0 to 7.5.
A nurse is reviewing the results of an AmniSure test on a client who has PROM at 36 weeks of gestation.
The test is positive for PAMG-1.
What does this result mean?
Explanation
The client has confirmed membrane rupture.This is because the AmniSure ROM Test detects the presence of PAMG-1 protein in the vaginal discharge of pregnant women, which is a marker of amniotic fluid.A positive test result means that the fetal membranes have ruptured and the amniotic fluid has leaked into the vagina.
A nurse is preparing to perform a ferning test on a client who has PPROM at 28 weeks of gestation.
Which of the following actions should the nurse take?
Explanation
A ferning test is used to detect the presence of amniotic fluid in the vagina, which can indicate preterm premature rupture of membranes (PPROM).To perform the test, the nurse should collect a sample of vaginal fluid with a sterile cotton swab and place it on a glass slide without a cover slip.Then, the nurse should examine the slide under low-power magnification and look for fern-like patterns that form when the fluid dries.
A nurse is assessing a client who has PROM at 34 weeks of gestation.
Which of the following ultrasound findings should the nurse report to the provider?
Explanation
This means that the fetus is positioned with its buttocks or feet towards the cervix, which can increase the risk of complications during delivery.The nurse should report this finding to the provider and prepare for a possible cesarean section.
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