A woman in the perinatal clinic reports a gush of vaginal fluid after sneezing. The nurse performs a Nitrazine tape test and documents that the tape is beige in color. What action should the nurse take?
A.
Ask the woman about recent sexual intercourse.
B.
Assess the woman for urinary incontinence.
C.
Arrange for the woman to be admitted to the birthing unit.
D.
Inquire if the woman has symptoms of a vaginal infection.
ANS: B
Amniotic fluid is alkaline with a pH between 6.5 and 7.5. When the alkaline amniotic fluid is exposed to Nitrazine tape, the tape turns blue-green, gray, or deep blue. Urine and vaginal secretions are usually acidic. Because the gush of fluid occurred after sneezing, the nurse should assess the woman for urinary incontinence (especially stress incontinence). The presence of semen or certain bacterial infections can also lead to an alkaline result. The woman does not need admission.
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