Author Question: A client states, I think my waters broke I felt this gush of fluid between my legs.. The nurse tests ... (Read 151 times)

ts19998 · **on:** Jun 27, 2018

A client states, I think my waters broke I felt this gush of fluid between my legs.. The nurse tests the fluid with Nitrazine paper and confirms membrane rupture if the paper turns:

A) Yellow
B) Olive green
C) Pink
D) Blue

Question 2

During labor, a fetus is identified as having uteroplacental insufficiency. Which tracing should the nurse assess on the monitor to confirm this finding?

A) Variable decelerations that are too unpredictable to count
B) Fetal baseline rate increasing at least 5 mmHg with contractions
C) A shallow deceleration occurring with the beginning of contractions
D) Fetal heart rate declining late with contractions and remaining depressed

chevyboi1976 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

D
Feedback:
Amniotic fluid is alkaline and turns Nitrazine paper blue. Nitrazine paper that remains yellow to olive green suggests that the membranes are most likely intact.

Answer to Question 2

D
Feedback:
Late decelerations are those that are delayed until 30 to 40 seconds after the onset of a contraction and continue beyond the end of a contraction. This is an ominous pattern in labor because it suggests uteroplacental insufficiency or decreased blood flow through the intervillous spaces of the uterus during uterine contractions. With uteroplacental insufficiency, the nurse will not observe on the monitor tracing variable unpredictable decelerations, an increase in fetal heart rate with contractions, or shallow decelerations at the beginning of contractions.