A nurse is preparing to perform a ferning test on a client who has PPROM at 28 weeks of gestation.

Which of the following actions should the nurse take?

Collect a sample of vaginal fluid with a sterile cotton swab

Place the sample on a glass slide and cover it with a cover slip

Examine the slide under low-power magnification

Wait for 10 minutes before observing the slide for fern-like patterns

Answer and Explanation

The Correct Answer is A

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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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.

A. Amniotic fluid index (AFI) of 8 cm B. Fetal breech presentation C. Anterior placenta D. Biparietal diameter of 8.5 cm.

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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A nurse is preparing to perform a ferning test on a client who has PPROM at 28 weeks of gestation. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

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A nurse is preparing to perform a ferning test on a client who has PPROM at 28 weeks of gestation.

Which of the following actions should the nurse take?