A nurse admits a client in early labor. As part of the admission assessment, the nurse reviews the prenatal record and conducts an interview. Why is it critical for the nurse to verify the client's Group B Streptococcus (GBS) status and other prenatal data during this phase?

To assess the client's pain tolerance and plan analgesia accordingly

To establish the exact time of rupture of membranes to schedule delivery

To determine if prophylactic antibiotics are needed during labor to prevent neonatal infection

To decide whether the client requires an immediate cesarean delivery

Answer and Explanation

The Correct Answer is C

A. Pain management is an important aspect of labor care, but it is unrelated to prenatal laboratory findings such as GBS status. Analgesia decisions are based on the client’s preferences and progress in labor, not infection screening results.

B. The time of membrane rupture is important for infection risk assessment but is obtained through the client’s history, not from prenatal data. It does not determine antibiotic need unless GBS positivity or prolonged rupture is documented.

C. Verifying GBS status ensures that infected or colonized clients receive intrapartum antibiotics, typically penicillin, to prevent neonatal sepsis, pneumonia, or meningitis. Reviewing prenatal labs helps guide timely prophylactic treatment and reduces neonatal morbidity.

D. Cesarean delivery decisions are based on obstetric indications such as fetal distress or failure to progress, not GBS status. GBS colonization alone is not a reason for cesarean section and is managed effectively with intrapartum antibiotics.

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Correct Answer is ["200"]

Explanation

Pregnant women are advised to limit caffeine intake to less than 200 mg per day, which is roughly equivalent to one 12-ounce cup of coffee. Excessive caffeine crosses the placenta and may affect fetal growth and development, increasing the risk of miscarriage, intrauterine growth restriction, and low birth weight. Moderation helps minimize these risks while allowing limited consumption for those who regularly consume caffeine.

A. secondary dysmenorrhea. B. primary dysmenorrhea. C. PMS. D. endometriosis.

Correct Answer is D

Explanation

A. Secondary dysmenorrhea: Although secondary dysmenorrhea involves painful menstruation caused by pelvic pathology, it is a broad term. Endometriosis is a specific cause of secondary dysmenorrhea, but the additional symptoms of infertility and dyspareunia suggest a more defined diagnosis.

B. Primary dysmenorrhea: Primary dysmenorrhea typically begins during adolescence and is caused by excessive prostaglandin production leading to uterine contractions. It does not usually worsen over time or cause infertility and pain during intercourse.

C. PMS: Premenstrual syndrome is characterized by mood swings, breast tenderness, bloating, and fatigue occurring before menstruation. It does not cause severe pelvic pain, dyspareunia, or infertility, which are hallmark features of endometriosis.

D. Endometriosis: Endometriosis occurs when endometrial tissue grows outside the uterus, leading to chronic inflammation, scarring, and adhesions. It commonly causes progressive dysmenorrhea, deep dyspareunia, chronic pelvic pain, and infertility, aligning closely with this patient’s symptoms.

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A nurse admits a client in early labor. As part of the admission assessment, the nurse reviews the prenatal record and conducts an interview. Why is it critical for the nurse to verify the client's Group B Streptococcus (GBS) status and other prenatal data during this phase?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["200"]

Explanation

A woman complains of severe abdominal and pelvic pain around the time of menstruation that has gotten worse over the last 5 years. She also complains of pain during intercourse and has tried unsuccessfully to get pregnant for the past 18 months. These symptoms are most likely related to

Correct Answer is D

Explanation

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A nurse admits a client in early labor. As part of the admission assessment, the nurse reviews the prenatal record and conducts an interview. Why is it critical for the nurse to verify the client's Group B Streptococcus (GBS) status and other prenatal data during this phase?