#Nitrazine ph test strip amniotic fluid nursing serial#

AFI measurement identifies oligohydramnios and helps the health care provider make decisions for optimal time of delivery.Ĭollect serial maternal specimens of blood for complete blood count (CBC) and urine for urinalysis as prescribed by the health care provider (e.g., daily). L/S ratio and PG identify lung maturity/readiness for neonatal breathing. Late decelerations in labor are a sign of a compromised fetus struggling with oxygenation demands during labor.Īrrange for other tests of fetal well-being (e.g., BPP, amniocentesis for lecithin to sphingomyelin ratio, and phosphatidyl glycerol, and ultrasound for AFI).īPP assesses deviations in growth and development and assesses for subclinical infection. A nonreactive NST result is associated with infection. Prompt notification of signs to the health care provider may decrease the risk of further compromise to the fetus or mother.Īpply external fetal heart rate (FHR) monitor and assess with nonstress test (NST) q8h.įetal tachycardia is a sign of infection.

Group B streptococcus, Chlamydia trachomatis, gonorrhea, bacterial vaginosis, or trichomoniasis organisms are common causes of maternal vaginal tract infections and chorioamnionitis.Īfter PPROM has been confirmed, begin maternal assessments: monitor maternal vital signs q2-4h palpate uterus for tenderness and observe vaginal secretions for color, amount, and odor q8h.įever, uterine tenderness, and changes in vaginal discharge are signs of infection. These assessments are able to confirm the diagnosis of PPROM.Īssist with collecting specimens from amniocentesis or vaginal secretions for laboratory culture. Related to bacterial spread (often from upward movement of vaginal bacteria)ĭesired Outcome: The amniotic fluid is clear without offensive odor and maternal temperature remains less than 99.5° F.Īssist health care provider with sterile speculum examination, collection of amniotic fluid, Nitrazine paper test, and observation of ferning by microscope.