Inpatient Obstetric Nurse (NCC) Practice Exam

A common sign of ruptured membranes is indeed characterized by a sudden gush or leaking of clear or pale yellow fluid from the vagina. This occurs when the amniotic sac surrounding the fetus breaks, allowing the fluid to escape. Patients often describe this sensation as a sudden release of fluid that may soak their clothing. The fluid is typically clear or pale yellow, which is normal for amniotic fluid.

Recognizing this sign is crucial in the clinical setting, as it indicates that labor may be imminent, or it can signify the need for further evaluation, particularly to assess for signs of possible infection or to evaluate the risk of cord prolapse. It can also encourage careful monitoring of the labor and delivery process.

On the other hand, a sharp pain in the lower abdomen can be associated with various conditions, including labor or other abdominal issues, but it is not a definitive sign of ruptured membranes. Increased fetal movement would generally not indicate ruptured membranes, as it can be consistent with normal fetal activity at any stage of pregnancy. Regular contractions occurring every 10 minutes suggest that labor may be approaching, but they do not specifically point to the membranes having ruptured. Therefore, the presence of a sudden gush or leaking of fluid is the most direct and commonly