A nurse is assessing a pregnant client whose membranes have ruptured. Which of the following findings may indicate an infection?
A) Nitrazine paper remains yellow
B) White or cloudy amniotic fluid
C) Clear and colorless amniotic fluid
D) Nitrazine paper turns blue
B
Feedback:
White or cloudy fluid may indicate the presence of pus in response to an infection. Normal amniotic fluid is clear and colorless. A nitrazine test will determine if the amniotic sac has ruptured; if it turns blue, it is probably stained with amniotic fluid, indicating that the amniotic sac has ruptured. If the test or urine strip remains yellow, it is probably in contact with vaginal secretions only.
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