More questions on Preterm Labor
More questions on Preterm Labor ( 55 Questions)
A nurse is caring for a client who is at 32 weeks of gestation and has signs of pre-term labor.
Which of the following tests should the nurse anticipate to confirm ROM?
This 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 indicates the presence of amniotic fluid. This test can help confirm rupture of membranes (ROM) in pregnancy, especially when preterm labor is suspected.
This test involves examining a sample of vaginal fluid under a microscope and looking for a fern-like pattern that is formed by dried amniotic fluid crystals.
This test can also help confirm ROM, but it is less reliable than the nitrazine test because other substances such as cervical mucus, semen, or blood can also cause ferning.
This test involves measuring the amount of amniotic fluid in the uterus using ultrasound. This test can help assess the fetal well-being and detect conditions such as oligohydramnios (low amniotic fluid) or polyhydramnios (high amniotic fluid).
This test cannot confirm ROM by itself, but it can be used in combination with other tests to evaluate the status of the pregnancy.
This test involves using ultrasound and a fetal monitor to assess the fetal heart rate, breathing, movement, muscle tone, and amniotic fluid volume.
Nitrazine paper test.
This 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 indicates the presence of amniotic fluid. This test can help confirm rupture of membranes (ROM) in pregnancy, especially when preterm labor is suspected.
Choice B. Ferning test. This test involves examining a sample of vaginal fluid under a microscope and looking for a fern-like pattern that is formed by dried amniotic fluid crystals. This test can also help confirm ROM, but it is less reliable than the nitrazine test because other substances such as cervical mucus, semen, or blood can also cause ferning.
Choice C. Amniotic fluid index. This test involves measuring the amount of amniotic fluid in the uterus using ultrasound. This test can help assess the fetal well-being and detect conditions such as oligohydramnios (low amniotic fluid) or polyhydramnios (high amniotic fluid). This test cannot confirm ROM by itself, but it can be used in combination with other tests to evaluate the status of the pregnancy.
Choice D. Biophysical profile. This test involves using ultrasound and a fetal monitor to assess the fetal heart rate, breathing, movement, muscle tone, and amniotic fluid volume.