A 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?
Fetal heart rate of 160 beats/min
Maternal temperature of 38.2°C (100.8°F)
Clear amniotic fluid
Absent uterine contractions
The Correct Answer is B
Maternal temperature of 38.2°C (100.8°F). This is because a high maternal temperature is a sign of chorioamnionitis, which is a serious infection of the placental tissues that can occur in patients with PPROM (preterm premature rupture of membranes). Chorioamnionitis can be very dangerous for both mother and baby and requires immediate treatment with antibiotics and delivery.
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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 C
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.
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