A pregnant woman at 32 weeks reports a sudden gush of clear fluid from the vagina. Which action should the nurse take first?
Correct answer: B. Assess her condition and arrange urgent obstetric review
- A. Perform a routine vaginal examination immediately
- B. Assess her condition and arrange urgent obstetric review
- C. Advise her to drink fluids and continue normal activity
- D. Tell her to wait until regular contractions begin
Explanation
A sudden gush may indicate rupture of the membranes, which requires assessment of maternal and fetal wellbeing and timely referral. Digital vaginal examination should not be performed routinely before assessment because it may increase infection risk.
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About Antenatal Care
Routine care during pregnancy includes booking history, physical examination, laboratory investigations, nutritional advice, immunisation, fetal growth assessment and scheduled antenatal visits. It also covers recognition of danger signs, calculation of gestational age and estimated delivery date, and the difference between uncomplicated surveillance and referral for high-risk pregnancy.
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