Match colour of amniotic fluid with clinical significance

Colour of amniotic fluid	Clinical significance
A. Green colour	I. IUD
B. Golden colour	II. Postmaturity
C. Greenish yellow	III. Fetal distress
D. Dark brown	IV. Rh incompatibility

1. A

   A-III, B-IV, C-II, D-I

2. B

   A-I, B-III, C-II, D-IV

3. C

   A-I, B-III, C-IV, D-III

4. D

   A-III, B-IV, C-I, D-II

Appeared in: MNS 2024

Explanation

• The correct option establishes the standard clinical correlations between abnormal amniotic fluid colors and their underlying causes.
• Green fluid (A) is stained by meconium, a sign of fetal distress (III).
• Golden-colored fluid (B) is caused by bilirubin from hemolysis in cases of Rh incompatibility (IV).
• Greenish-yellow or saffron-colored fluid (C) is associated with postmaturity (II).
• Dark brown or 'tobacco juice' fluid (D) indicates the breakdown of old blood following an intrauterine death (I).

Why Other Options Were Wrong

• Option B: This option incorrectly matches Green colour (A) with IUD (I) and Golden colour (B) with Fetal distress (III). Green indicates fetal distress, and golden indicates Rh incompatibility.
• Option C: This option incorrectly matches Green colour (A) with IUD (I), Golden colour (B) with Fetal distress (III), and Greenish yellow (C) with Rh incompatibility (IV). These pairings are not clinically accurate.
• Option D: This option incorrectly matches Greenish yellow (C) with IUD (I) and Dark brown (D) with Postmaturity (II). Greenish-yellow fluid indicates postmaturity, and dark brown fluid suggests IUD.

Related Visual

Clinical Relevance

• Nursing practice connection: Knowing Correlation between amniotic-fluid color and clinical significance in obstetrics helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
• Assessing the color of amniotic fluid upon rupture of membranes is a critical nursing responsibility to quickly identify potential fetal compromise.
• Green (meconium-stained) fluid requires immediate notification of the pediatric team for potential neonatal resuscitation due to the risk of meconium aspiration syndrome.
• Golden-colored fluid necessitates preparation for managing a newborn with hyperbilirubinemia and potential need for phototherapy or exchange transfusion.

How to Approach the Question

• This is a 'Match the Following' question. Start by analyzing the two columns: 'Colour of amniotic fluid' and 'Clinical significance'.
• Identify the most well-known or certain matches first. For example, 'Green colour' is classically associated with 'Fetal distress' due to meconium staining. This pairs A with III.
• Use this first correct pair (A-III) to evaluate the given options. Options B and C start with A-I, so they can be eliminated immediately.
• Now, you are left with options A and D, both of which start with A-III. You need another match to decide between them.
• Consider 'Golden colour' (B). This is a classic sign of Rh incompatibility (IV) due to hemolysis. This pairs B with IV.
• Check the remaining options. Option A has the combination A-III and B-IV. Option D has A-III and B-IV as well.

Concept Tested & Keywords

• Concept Tested: Correlation between amniotic-fluid color and clinical significance in obstetrics.
• Stem keywords: amniotic fluid, colour, clinical significance, Green colour, Golden colour, Greenish yellow, Dark brown
• Lead-in keywords: Match
• Negative lead-in flag: false

Question ID

QyXFtaIQ9A9axVU26t_o0G

Copy ID

Reference Book

E6 Midwifery Obstetrics and Gynecology Nursing Sandeep Kaur p. 53-64