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NM 704 EXAM 3 AND PRACTICE EXAM NEWEST 2025/2026 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED||
Describe the ph test (nitrazine test) - 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)? -
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
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What can cause a false negative in the pH test (nitrazine test)? -
ANSWER-not enough residual amniotic fluid present
Describe the Rapid Immunoassay test (AmniSure) - ANSWER--
Vaginal fluid collected and swished in a tube with solvent. Then a
test strip is inserted into a vial
-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? -
ANSWER-significant bleeding
higher vaginal concentration of a biomarker with labor
infection
alkaline fluid
What can cause false negatives in rapid immunoassay test? -
ANSWER-error in testing procedure
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not enough residual fluid present
What as the risk that follow after ROM? - ANSWER-infection
preterm birth in the case of PPROM
prolapsed cord
What are the reasons for delaying admission until active labor? -
ANSWER--There is an increases use of interventions (oxytocin,
epidurals, fetal scalp electrodes, IUPCs, C/S births, operative
vaginal births
What are the ways to reduce early labor admissions and the
associated interventions? - ANSWER--Prenatal Anticipatory
guidance
-Frequent calls with provider
-Explaining warning signs
-put forth efforts to accurately diagnosis labor before admission
-Consider the individuals circumstances and utilize SDM
-Provide option of going home
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-Admit if indication of not coping well, extreme fatigue, need for
therapeutic rest, severe N/V needing intervention
-Offer to stay at facility for a few hours and then reevaluate
progress
-Studies have not been successful in reducing early labor
interventions or admission
What is a woman's experience of what she was told about early
labor and what they actually experienced? - ANSWER--womens
expectations did not match what they experienced
-know that because of this many women are not comfortable at
home
-anticipatory guidance needs to be accurate
-women had difficulty coping at home, working through the pain,
uncertainty about if in labor or not, anxiety from family members
pressuring them to go to the hospital
Discuss strategies for coping with labor - ANSWER-distraction
reassurance
continuous support
NM 704 EXAM 3 AND PRACTICE EXAM NEWEST 2025/2026 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED||
Describe the ph test (nitrazine test) - 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)? -
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
,2|Page
What can cause a false negative in the pH test (nitrazine test)? -
ANSWER-not enough residual amniotic fluid present
Describe the Rapid Immunoassay test (AmniSure) - ANSWER--
Vaginal fluid collected and swished in a tube with solvent. Then a
test strip is inserted into a vial
-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? -
ANSWER-significant bleeding
higher vaginal concentration of a biomarker with labor
infection
alkaline fluid
What can cause false negatives in rapid immunoassay test? -
ANSWER-error in testing procedure
,3|Page
not enough residual fluid present
What as the risk that follow after ROM? - ANSWER-infection
preterm birth in the case of PPROM
prolapsed cord
What are the reasons for delaying admission until active labor? -
ANSWER--There is an increases use of interventions (oxytocin,
epidurals, fetal scalp electrodes, IUPCs, C/S births, operative
vaginal births
What are the ways to reduce early labor admissions and the
associated interventions? - ANSWER--Prenatal Anticipatory
guidance
-Frequent calls with provider
-Explaining warning signs
-put forth efforts to accurately diagnosis labor before admission
-Consider the individuals circumstances and utilize SDM
-Provide option of going home
, 4|Page
-Admit if indication of not coping well, extreme fatigue, need for
therapeutic rest, severe N/V needing intervention
-Offer to stay at facility for a few hours and then reevaluate
progress
-Studies have not been successful in reducing early labor
interventions or admission
What is a woman's experience of what she was told about early
labor and what they actually experienced? - ANSWER--womens
expectations did not match what they experienced
-know that because of this many women are not comfortable at
home
-anticipatory guidance needs to be accurate
-women had difficulty coping at home, working through the pain,
uncertainty about if in labor or not, anxiety from family members
pressuring them to go to the hospital
Discuss strategies for coping with labor - ANSWER-distraction
reassurance
continuous support
