Rupture of the Amniotic Sac Before the Onset of True

Rupture of the amniotic sac before the onset of true labor,regardless of length of gestation is called premature rupture of membranes (PROM) .The first priority for the nurse is to determine whether membranes are truly ruptured.Other explanations for this increase in fluid discharge include all except

A) Urinary incontinence
B) Leaking of amniotic fluid
C) Loss of mucous plug
D) An increase in vaginal discharge