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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. To identify abnormal fetal cells: This is typically the purpose of amniocentesis earlier in pregnancy to check for genetic disorders, not at 34 weeks.
B. To detect metabolic disorders: Metabolic disorders are usually identified through newborn screening after birth rather than through late pregnancy amniocentesis.
C. To determine fetal lung maturity: At 34 weeks gestation, determining fetal lung maturity is critical, especially in cases of preeclampsia, as early delivery might be necessary.
D. To identify the sex of the fetus: The sex of the fetus is usually determined earlier in pregnancy if necessary, not at 34 weeks, and it is not the primary purpose in this context.
Correct Answer is B, D, A, C
Explanation
Urine hCG is used to confirm pregnancy and is the first test performed. The maternal serum alpha-fetoprotein test is typically done around 15-20 weeks to screen for fetal abnormalities. The Glucose Tolerance Test (GTT) is typically performed between 24-28 weeks to screen for gestational diabetes. Group B beta strep testing is usually done between 35-37 weeks to screen for bacterial infection.
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