A nurse is admitting a client who is at 39 weeks of gestation and in active labor.The client reports being positive for group B streptococcus (GBS) when screened at 36 weeks of gestation.
Which of the following actions should the nurse expect to take?

Prepare for a cesarean birth.

Administer IV antibiotic prophylaxis.

Obtain a vaginal culture.

Administer metronidazole orally.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Cesarean birth is not necessarily required for GBS-positive clients as long as IV antibiotic prophylaxis is administered during labor to prevent transmission to the newborn.

Choice B rationale

IV antibiotic prophylaxis, typically with penicillin or ampicillin, is given to GBS-positive clients during labor to prevent neonatal GBS infection.

Choice C rationale

Obtaining a vaginal culture at 39 weeks of gestation is not necessary if the client was already screened and found positive for GBS at 36 weeks.

Choice D rationale

Metronidazole is used to treat bacterial vaginosis or trichomoniasis, not GBS infection; thus, it is not appropriate for this scenario. .

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Correct Answer is D

Explanation

Choice A rationale

Repeating the CST isn't necessary with a negative result, which indicates no significant uterine contractions affecting the fetus.

Choice B rationale

Administering an IV fluid bolus is not warranted by a negative CST result.

Choice C rationale

Preparing for a cesarean birth isn't necessary since a negative CST indicates no immediate fetal distress.

Choice D rationale

A negative CST indicates that there are no late decelerations, so the nurse should allow the labor to progress naturally.

A. Give glucose water after feedings. B. Instruct the client to avoid breastfeeding during treatment. C. Monitor intake and output. D. Apply lotions and ointments throughout the treatment.

Correct Answer is C

Explanation

Choice A rationale

Giving glucose water after feedings is not recommended for newborns undergoing phototherapy. Breastfeeding or formula feeding should be continued to provide adequate nutrition and hydration.

Choice B rationale

Instructing the client to avoid breastfeeding during treatment is not necessary. Breastfeeding should continue to promote bonding, provide nutrition, and help with the infant's hydration and bilirubin excretion.

Choice C rationale

Monitoring intake and output is crucial for a newborn receiving phototherapy to ensure proper hydration and assess the effectiveness of the treatment in lowering bilirubin levels.

Choice D rationale

Applying lotions and ointments throughout the treatment is not recommended, as they can interfere with the effectiveness of phototherapy. The skin should be clean and dry to maximize exposure to the phototherapy light.

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A nurse is admitting a client who is at 39 weeks of gestation and in active labor.The client reports being positive for group B streptococcus (GBS) when screened at 36 weeks of gestation.Which of the following actions should the nurse expect to take?

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Naxlex Comprehensive Predictor Exams

A nurse is performing a contraction stress test (CST) on a client who is at 40 weeks of gestation.The results of the test indicate a negative CST.Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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A nurse is admitting a client who is at 39 weeks of gestation and in active labor.The client reports being positive for group B streptococcus (GBS) when screened at 36 weeks of gestation.
Which of the following actions should the nurse expect to take?