Clinical manifestations and Diagnostic tests
Clinical manifestations and Diagnostic tests ( 5 Questions)
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?
the client has a high risk of developing preterm labor only if the membrane rupture occurs before 37 weeks of gestation, which is not the case for this client who is at 36 weeks.
the client has a high risk of developing postpartum hemorrhage only if there is placental abruption, uterine atony, retained placenta or lacerations, which are not related to membrane rupture.
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.
the client has confirmed fetal lung maturity only if the lecithin/sphingomyelin (L/S) ratio in the amniotic fluid is greater than 2, which is not measured by the AmniSure ROM Test.
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.