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Rupture of Membranes Quiz

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Questions and Answers

What is the definition of rupture of membranes?

The rupture of the amniotic sac followed by the release of amniotic fluid.

What is spontaneous rupture of membranes?

ROM that usually occurs at the onset of labor and is unprovoked by health practitioners.

What is artificial rupture of membranes?

A procedure in which the amniotic sac is ruptured in order to release amniotic fluid.

What is delayed rupture of membranes?

ROM that occurs during fetal expulsion, after cervical dilation and effacement. Signup and view all the answers

What is the clinical feature of rupture of membranes?

Sudden 'gush' of pale yellow or clear fluid from the vagina (may also be a constant leaking sensation). Signup and view all the answers

What are the clinical features of rupture of membranes?

The clinical features of rupture of membranes include a sudden 'gush' of pale yellow or clear fluid from the vagina, or a constant leaking sensation. Signup and view all the answers

What is the difference between premature rupture of membranes (PROM) and preterm premature rupture of membranes (PPROM)?

Premature rupture of membranes (PROM) refers to the rupture of amniotic sac before the onset of labor, while preterm premature rupture of membranes (PPROM) specifically refers to the rupture of amniotic sac before 37 weeks of gestation. Signup and view all the answers

What are the diagnostic considerations for rupture of membranes?

If the diagnosis of rupture of membranes is uncertain, a sterile speculum examination can be considered. Suggestive findings include pooling, positive litmus test or nitrazine test, and ferning. Signup and view all the answers

What is the definition of spontaneous rupture of membranes?

Spontaneous rupture of membranes refers to the rupture of amniotic sac that usually occurs at the onset of labor and is unprovoked by health practitioners. Signup and view all the answers

What is the definition of delayed rupture of membranes?

Delayed rupture of membranes refers to the rupture of amniotic sac that occurs during fetal expulsion, after cervical dilation and effacement. Signup and view all the answers

Study Notes

Rupture of Membranes (ROM)

ROM occurs when the amniotic sac ruptures, releasing amniotic fluid.

Types of Rupture of Membranes

Spontaneous Rupture of Membranes: Occurs naturally at the onset of labor, without medical intervention.
Artificial Rupture of Membranes (Amniotomy): A medical procedure to intentionally rupture the amniotic sac to facilitate delivery.
Delayed Rupture of Membranes: Occurs during the expulsion phase of labor, after the cervix has fully dilated and effaced.
Abnormal Rupture of Membranes:
- Premature Rupture of Membranes (PROM): Rupture occurs before the onset of labor.
- Preterm Premature Rupture of Membranes (PPROM): Rupture occurs before 37 weeks of gestation.
- Prolonged Rupture of Membranes: Membranes are ruptured for an extended period before delivery.

Clinical Features

Characterized by a sudden "gush" of pale yellow or clear fluid from the vagina, which may also manifest as a continuous leaking sensation.

Diagnostics

Conduct a sterile speculum examination if ROM diagnosis is uncertain.
Suggested findings to confirm ROM include:
- Pooling of fluid in the vaginal canal.
- Positive litmus test or nitrazine test indicating pH changes.
- Presence of "ferning" patterns when fluid is dried on a microscope slide.

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Description

Test your knowledge on the different types of rupture of membranes with this quiz. Learn about spontaneous rupture of membranes, artificial rupture of membranes (amniotomy), and delayed rupture of membranes. Challenge yourself to understand the differences and implications of each type.