A nurse is reviewing the laboratory results of a client with PROM at 38 weeks of gestation.

The nurse notes that the client has a positive culture for group B streptococcus.

What is the most likely implication of this finding for the client and the fetus?

The client will need to receive intravenous antibiotics during labor and delivery to prevent neonatal sepsis.

The client will need to undergo a cesarean section to prevent neonatal meningitis.

The client will need to receive oral antibiotics for 10 days after delivery to prevent postpartum endometritis.

The client will need to undergo an amniocentesis to determine the fetal lung maturity and infection status.

Answer and Explanation

The Correct Answer is A

The client will need to receive intravenous antibiotics during labor and delivery to prevent neonatal sepsis. Group B streptococcus (GBS) is a type of bacteria that can be passed from a pregnant person to their baby during vaginal delivery and can cause serious infections in newborns. Antibiotics can significantly reduce the risk of the baby getting ill.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

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

Explanation

These are the instructions that the nurse should include in the teaching plan for a client with PPROM at 30 weeks of gestation who is being discharged home on bed rest with bathroom privileges.

A. Insert an indwelling urinary catheter B. Administer an IV fluid bolus as prescribed C. Obtain informed consent from the client or her partner D. Perform a leopold maneuver to determine fetal position. E. Apply an external fetal monitor to assess fetal heart rate

Correct Answer is ["A","B","C"]

Explanation

The correct answer is choice A, B and C. These interventions are part of the preoperative care for a client who is undergoing an emergency cesarean birth due to umbilical cord prolapse.Umbilical cord prolapse is a medical emergency that occurs when the umbilical cord slips through the cervix and into the vagina before the baby, causing fetal hypoxia.

Choice D is wrong because performing a leopold maneuver to determine fetal position is not necessary in this situation, as the fetal presentation is already known and the priority is to deliver the baby as soon as possible.

Choice E is wrong because applying an external fetal monitor to assess fetal heart rate is not sufficient in this situation, as the cord compression may cause severe bradycardia or variable decelerations.The nurse should manually lift the presenting part and hold it off the prolapsed cord while preparing for cesarean delivery.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is reviewing the laboratory results of a client with PROM at 38 weeks of gestation. The nurse notes that the client has a positive culture for group B streptococcus. What is the most likely implication of this finding for the client and the fetus?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a client with PPROM at 30 weeks of gestation who is being discharged home on bed rest with bathroom privileges. Which of the following instructions should the nurse include in the teaching plan? (Select all that apply.).

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

Explanation

A nurse is preparing a client for an emergency cesarean birth due to umbilical cord prolapse. Which of the following interventions should the nurse include in the preoperative care? (Select all that apply.).

Correct Answer is ["A","B","C"]

Explanation

A nurse is monitoring a client with PROM at 34 weeks of gestation who is receiving tocolytic therapy. Which of the following findings would indicate a potential adverse effect of the medication?

A nurse is performing a sterile speculum examination on a client with suspected PROM at 36 weeks of gestation. The nurse observes a pool of clear fluid in the vagina. What is the most appropriate action for the nurse to take next?

A nurse is reviewing the laboratory results of a client with PROM at 38 weeks of gestation. The nurse notes that the client has a positive culture for group B streptococcus. What is the most likely implication of this finding for the client and the fetus?

A nurse is caring for a client with PPROM at 32 weeks of gestation. The client asks the nurse why she needs to take corticosteroids. The nurse’s best response is:

A nurse is reviewing the laboratory results of a client with PROM at 38 weeks of gestation.

The nurse notes that the client has a positive culture for group B streptococcus.

What is the most likely implication of this finding for the client and the fetus?