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?
The fluid is amniotic and indicates membrane rupture
The fluid is urine or vaginal secretions and indicates no membrane rupture
The fluid is blood and indicates placental abruption
The fluid is meconium-stained and indicates fetal distress.
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
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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