CNM Certified Nurse Midwife

Category - Intrapartum

A nurse midwife induces labor through amniotomy. The amniotic fluid is assessed and the nurse midwife notes that the amniotic fluid is red in color. This finding most likely suggests:
  1. Fetal trauma.
  2. Infection.
  3. A fetal congenital disorder.
  4. Fetal distress.
Explanation
Answer: A - Red amniotic fluid most likely suggests fetal trauma. The characteristics of the amniotic fluid, such as color, odor and quantity of fluid, should be noted after amniotomy. A foul odor suggests infection. Excessive or too little amniotic fluid suggests fetal congenital disorder. Fetal distress may be manifested with green-colored amniotic fluid.
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