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Answer :
Final answer:
The nitrazine test may not always be accurate due to low specificity and sensitivity, and results can be affected by pH-altering contaminants, so additional assessments are recommended for a reliable diagnosis.
Explanation:
The nitrazine test should not be the only test used to confirm rupture of membranes because it can have low specificity and sensitivity. The rupture of amniotic membranes occurs in approximately 12 percent of women before the onset of labor, commonly at the end of the dilation stage due to pressure from the fetal head. However, the nitrazine test might register a false positive due to contamination with substances that can alter the pH, such as blood, semen, or bacterial vaginosis. In clinical practice, it is recommended to corroborate test results with additional assessments, such as visual examination or ultrasound, to ensure accurate diagnosis.
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