A G1 PO 39 week gestation patient presents in active labor. She is GBS positive at 36 weeks. What medication does the nurse anticipate giving?

Pitocin

Azythromycin

Penicillin G

Magnesium Sulfate

Answer and Explanation

The Correct Answer is C

A. Pitocin is used to induce or augment labor but is not indicated specifically for a GBS-positive patient.

B. Azithromycin is used for treating chlamydia, not for group B streptococcus (GBS).

C. Penicillin G is the recommended treatment for GBS-positive mothers during labor to prevent neonatal infection. It is administered intravenously.

D. Magnesium Sulfate is used for pre-eclampsia or preterm labor, not for GBS prevention.

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Correct Answer is ["C","E","F"]

Explanation

A. The active stage of labor typically begins when cervical dilation is around 4 cm. LC’s dilation of 6 cm suggests that she is already in the active phase, but this is not confirmed based on this vaginal exam alone.

B. LC is not 80% dilated; the figure 6/80/-1 indicates 6 cm dilation, 80% effaced, and -1 station (fetal head is still above the ischial spines).

C. The fetal station of -1 indicates that the presenting part (head) is 1 cm above the pelvic outlet, which is consistent with this description.

D. The presenting part being 1 cm below the ischial spines would indicate a station of +1, which is not described here.

E. The cervix is 80% effaced, meaning it is more than halfway thinned, which is correct.

F. With a dilation of 6 cm, LC is in the active phase of labor, not the latent phase, but the question refers to the latent phase for comparison.

A. Total parental nutrition or IV hydration, B. A high protein diet rich in kilocalories. C. A 24 hour urine collection to check for protein. D. Fasting blood sugar and one hour postprandial.

Correct Answer is A

Explanation

A. Hyperemesis gravidarum can lead to severe dehydration and electrolyte imbalance, requiring IV fluids or parenteral nutrition.

B. A high-protein diet rich in kilocalories: Oral intake is often not tolerated in severe cases of hyperemesis gravidarum.

C. A 24-hour urine collection to check for protein is more relevant for conditions like preeclampsia, not for hyperemesis gravidarum.

D. Fasting blood sugar and one-hour postprandial are used for managing gestational diabetes, not hyperemesis gravidarum.

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A G1 PO 39 week gestation patient presents in active labor. She is GBS positive at 36 weeks. What medication does the nurse anticipate giving?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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