Question

Fiona Hartfield is a 28 year old G1 P000 at 33 weeks gestation. She presents to Labor and Delivery with a history of two hours of uterine contractions. She does not believe that her bag of waters is broken. A fetal fibronectin test is positive.

Fiona’s bag of water breaks while in triage. What might be used to confirm this?

1. Nitrazine paper
2. Microscopic ferning study
3. Visualization of pooling via speculum
4. All of the above.

Answer 1

Ans) d. All of the above

Explaination:

- Nitrazine Test. This test involves putting a drop of fluid obtained from the vagiina onto paper strips containing Nitrazine dye. The strips change color depending on the pH of the fluid. The strips will turn blue if the pH is greater than 6.0. A blue strip means it's more likely the membranes have ruptured.

- The Fern Test, often used in conjunction with the Amnio Test or Nitrazine pH paper test, detects leakage of amniotic fluid from the membranes surrounding the fetus during pregnancy.

A positive test shows the presence of fern-like patterns characteristic of amniotic fluid crystals.

- Visualization of the tissue and creates an opening for speculum insertion. Speculum ensures that it is any vagiinal discharge that has pooled.