1|Page
NM 704 EXAM 3 LATEST 2026-2027 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||
Describe the arborization (fern) test - 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? -
ANSWER-cervical mucus
fingerprints
significant amount of blood
semen
-these can all show fern-like patterns
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What can cause false negatives in the Arborization test? -
ANSWER-not enough residual amniotic fluid
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
NM 704 EXAM 3 LATEST 2026-2027 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||
Describe the arborization (fern) test - 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? -
ANSWER-cervical mucus
fingerprints
significant amount of blood
semen
-these can all show fern-like patterns
,2|Page
What can cause false negatives in the Arborization test? -
ANSWER-not enough residual amniotic fluid
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
,3|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
, 4|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
