A physician writes the following order: administer ampicillin 1 g IV every 4 hours until delivery for a newly admitted client with ruptured membranes.
The client had positive vaginal and rectal cultures for GBS+ at 36 weeks gestation.
Which of the following is a rationale for this order?
The bacteria cause perineal sepsis.
The client is at risk for chorioamnionitis.
The bacteria are sexually transmitted.
The baby is at high risk for neonatal sepsis.
The Correct Answer is D
Choice A rationale
Group B Streptococcus (GBS) is not typically associated with perineal sepsis; rather, it is a bacterium that colonizes the gastrointestinal and genitourinary tracts.
Choice B rationale
While GBS colonization can pose risks, chorioamnionitis is a different infection involving the membranes and amniotic fluid, often caused by a variety of microorganisms, not solely GBS.
Choice C rationale
GBS is not primarily sexually transmitted; it is a bacterium naturally present in the genital and digestive tracts, and colonization can occur without sexual contact.
Choice D rationale
Neonatal sepsis is a serious risk for babies born to mothers colonized with GBS, necessitating antibiotic prophylaxis to prevent transmission and subsequent infection in the newborn.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Placental uterine insufficiency causes late decelerations, not early decelerations. Late decelerations indicate decreased placental perfusion and inadequate fetal oxygenation.
Choice B rationale
Umbilical cord compression leads to variable decelerations, characterized by abrupt decreases in fetal heart rate. Early decelerations are unrelated to cord compression.
Choice C rationale
Early decelerations are caused by head compression during contractions. This reflex response results in vagal stimulation and a uniform, gradual decrease in fetal heart rate, mirroring contractions.
Choice D rationale
Spontaneous rupture of membranes can influence labor progress but does not cause early decelerations. Early decelerations are primarily associated with head compression during contractions.
Correct Answer is B
Explanation
Choice A rationale
Notifying the provider is important but does not address the immediate need to assess the patient's progress and readiness for delivery. A direct intervention is required to determine the next steps.
Choice B rationale
Performing a sterile vaginal exam allows the nurse to assess cervical dilation and effacement, fetal station, and presentation, which are crucial to determine if the patient is ready to push and proceed with delivery.
Choice C rationale
Supportive words and care are essential for patient comfort, but they do not provide the necessary assessment to determine the patient's progress in labor or readiness for pushing.
Choice D rationale
Monitoring the fetal heart rate tracing is important for assessing fetal well-being but does not specifically address the patient's readiness to push or her labor progress.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.