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
The client has a high risk of developing postpartum hemorrhage
The client has confirmed membrane rupture
The client has confirmed fetal lung maturity
The Correct Answer is C
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.
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Correct Answer is B
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.
Correct Answer is A
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.
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