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NM 704 EXAM 3 AND PRACTICE EXAM NEWEST 2025
ACTUAL EXAM COMPLETE 200 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
What are the components of a Pelvic Exam for a person presenting for onset of labor? - CORRECT ANSWER --Digital Vaginal exam for cervical dilation, effacement, position and consistency -Fetal Station -If possibility of ROM deferre digital exam and use a speculum to assess for pooling of fluid or to obtain laboratory specimens -Performing serial cervical exams with cervical changes noted is a more accurate indication of labor
What are the components of preforming a speculum exam to diagnose SROM? - CORRECT ANSWER --Fluid leaking from the cervical os (cough or Valsalva maneuver, sit up for 30 minutes and reevaluate) -Color (clear, straw or cloudy, white creamy flecks of vernix) -Smell (has a distinct musty odor, foul-smelling indicates infection) -Bleeding 1 / 4
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-observe vaginal walls for discharge -not visible cervical dilation, length and effacement or a bulging bag
Describe the arborization (fern) test - CORRECT ANSWER -- dried fluid will give "ferning" appearance under the microscope -collect fluid from posterior cervix -let dry for 10 minutes and then look -fern pattern is caused by crystallization due to high sodium chloride and protein concentrations in amniotic fluid -ferning is not affected by meconium presence, small amounts of blood or pH changes
What can cause false positives in the Arborization test? - CORRECT ANSWER -cervical mucus fingerprints significant amount of blood semen -these can all show fern-like patterns
What can cause false negatives in the Arborization test? - CORRECT ANSWER -not enough residual amniotic fluid
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Describe the ph test (nitrazine test) - CORRECT ANSWER -pH paper to test for presence of fluid which is typically alkaline -if present paper will turn DARK BLUE -collect from posterior cervix and swab onto the paper -can also touch the paper to the labia or perineum where you see fluid
What can cause a false positive in the pH test (nitrazine test)? - CORRECT ANSWER -blood semen urine bacterial vaginosis trichomoniasis -can use a wet prep to determine the presence of these as they can coexist with ruptured membranes
What can cause a false negative in the pH test (nitrazine test)? - CORRECT ANSWER -not enough residual amniotic fluid present
Describe the Rapid Immunoassay test (AmniSure) - CORRECT ANSWER--Vaginal fluid collected and swished in a tube with solvent. Then a test strip is inserted into a vial 3 / 4
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-2 line = POSITIVE -1 line= Negative -There are high rates of false positives with this test -Consider this test ancillary to standard methods of diagnosis
What can cause false positives in rapid immunoassay test? - CORRECT ANSWER -significant bleeding higher vaginal concentration of a biomarker with labor infection alkaline fluid
What can cause false negatives in rapid immunoassay test? - CORRECT ANSWER -error in testing procedure not enough residual fluid present
What as the risk that follow after ROM? - CORRECT ANSWER-infection preterm birth in the case of PPROM prolapsed cord
What are the reasons for delaying admission until active labor? - CORRECT ANSWER --There is an increases use of
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