North American Registry of Midwives (NARM) Practice Exam

What is referred to as premature rupture of membranes prior to term?

1. Delayed rupture of membranes

2. Preterm premature rupture of membranes

3. Prolonged rupture of membranes

4. Active labor rupture

The correct answer is: Preterm premature rupture of membranes

The term "preterm premature rupture of membranes" specifically refers to the event where the amniotic sac breaks before labor begins and before the gestational age of 37 weeks. This condition is significant in the context of pregnancy as it can lead to complications such as infection, preterm labor, and delivery. Preterm premature rupture of membranes (PPROM) occurs in a situation where the membranes rupture spontaneously prior to the 37-week mark and before the onset of labor, making it distinct from other categories of membrane rupture that occur either during labor or after the term period. It is crucial for healthcare providers to identify and manage PPROM appropriately, as the risks associated with it involve both maternal and neonatal health. The other choices refer to different circumstances. "Delayed rupture of membranes" generally indicates that the membranes have ruptured but labor has not progressed in a timely manner. "Prolonged rupture of membranes" describes a scenario where the membranes have been ruptured for an extended period, after labor has started, typically beyond 18-24 hours. "Active labor rupture" indicates that the membranes rupture during active labor, which is also different from the preterm situation. Understanding these nuances is vital in midwifery practice to improve outcomes for both