Practice Quiz

CNM Certified Nurse Midwife

Category - Intrapartum

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A client at 38 weeks’ gestation is admitted to the facility after a nurse midwife suspects that she has a case of premature rupture of the amniotic membranes. Which of the following information given by the client supports this diagnosis?
  1. Fewer than 5 fetal movements per hour for the past 24 hours.
  2. Uterine contractions with leakage of clear fluid from the vagina.
  3. Contractions are not alleviated with ambulation.
  4. Leakage of clear fluid from the vagina without contractions.
Explanation
Answer: D - Leakage of clear fluid from the vagina without contractions is a classic sign of premature rupture of the membranes. Premature rupture of the membranes occurs in pregnant clients at over 37 weeks’ gestation. Vaginal discharge, vaginal bleeding and pelvic pressure without contractions are also signs of premature amniotic membrane rupture.
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