North American Registry of Midwives (NARM) Practice Exam

Which method allows for examination of the amniotic fluid while membranes are intact?

1. Ultrasound

2. Amnioscopy

3. Amniocentesis

4. Fetal monitoring

The correct answer is: Amnioscopy

Amnioscopy is the method that allows for examination of the amniotic fluid while the membranes are still intact. This procedure involves inserting a small, illuminated tube through the cervix into the amniotic sac, providing a visual assessment of the fluid and the fetal environment. It is particularly useful for evaluating the color and clarity of the amniotic fluid, which can provide vital information about the well-being of the fetus and potential complications during labor. In contrast, ultrasound is primarily used for imaging but doesn't allow for direct examination of the amniotic fluid. Amniocentesis involves puncturing the membranes to collect amniotic fluid for testing, which means the membranes are not intact during that procedure. Fetal monitoring focuses on assessing the fetal heart rate and does not involve examining the amniotic fluid.