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

Instituting droplet precautions is not necessary for herpes simplex virus (HSV). HSV is primarily transmitted through direct contact with infected body fluids or lesions, not through respiratory droplets.

Choice B rationale

Administering ceftriaxone sodium is not appropriate for HSV. Ceftriaxone is an antibiotic used to treat bacterial infections, whereas HSV is a viral infection and requires antiviral treatment.

Choice C rationale

Informing the client they should bottlefeed the newborn is not necessary. Mothers with HSV can breastfeed as long as there are no herpetic lesions on the breast. Proper hand hygiene and preventive measures should be taken to avoid transmission.

Choice D rationale

Obtaining surface cultures from the newborn is the appropriate action. This helps in detecting the presence of HSV and initiating antiviral treatment if necessary. Early detection and treatment are crucial in preventing severe complications associated with neonatal HSV infection.

A. It is important to gain 2 pounds per week throughout the rest of your pregnancy. B. You can cause problems for your baby if you try to diet while pregnant. C. It would be helpful for us to meet with the dietitian to see how they can help you meet and assess your nutritional needs. D. You should eat an additional 700 calories per day while you are pregnant.

Correct Answer is C

Explanation

Choice A rationale

Gaining 2 pounds per week throughout the rest of pregnancy is excessive and not recommended. Normal weight gain is approximately 1 pound per week in the second and third trimesters.

Choice B rationale

Dieting during pregnancy can lead to inadequate nutrient intake for both the mother and the developing fetus. It is essential to focus on a balanced diet rather than trying to lose weight.

Choice C rationale

Meeting with a dietitian can help the client assess their nutritional needs and develop a healthy eating plan to support their pregnancy, ensuring both maternal and fetal health.

Choice D rationale

Eating an additional 700 calories per day is too high. Generally, an additional 300-500 calories per day is recommended during the second and third trimesters to support pregnancy. .

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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 planning care for a newborn who was exposed to active genital herpes simplex virus (HSV) during birth.Which of the following nursing actions should the nurse anticipate?

Correct Answer is D

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?