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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale
Continuing the same comfort methods that have become ineffective is unlikely to help the client and may increase frustration. Adaptation to the client’s changing needs is necessary for effective care.
Choice B rationale
Choosing an alternate method of comfort promotion is appropriate as it addresses the client's current needs and helps to alleviate frustration. Alternate methods might include massage, repositioning, or hydrotherapy.
Choice C rationale
Asking the support person to leave the room may not address the client's comfort needs and could decrease her emotional support, potentially increasing stress and frustration rather than providing relief.
Choice D rationale
Telling the client to relax more is not supportive and does not provide a new strategy to promote comfort. It may be dismissive and can increase the client’s frustration and anxiety during labor.

A. This ointment prevents the infant’s eyelids from sticking together and helps the infant see. B. This ophthalmic ointment prevents gonorrheal infection of the infant’s eyes, potentially acquired from the birth canal. C. Erythromycin prevents potentially harmful exudate from invading the tear ducts of the infant’s eyes, leading to dry eyes. D. Erythromycin ophthalmic ointment destroys an infectious exudate caused by Staphylococcus that could make the infant blind.

Correct Answer is B

Explanation

Choice A rationale
Erythromycin ophthalmic ointment does not prevent the infant's eyelids from sticking together; it is not its primary purpose and does not aid in vision enhancement.
Choice B rationale
Erythromycin ophthalmic ointment is used to prevent gonorrheal infection acquired during birth, protecting the infant’s eyes from potential infection that can cause blindness.
Choice C rationale
Erythromycin does not prevent exudate from invading the tear ducts, nor does it lead to dry eyes. Its primary function is antimicrobial.
Choice D rationale
Erythromycin ophthalmic ointment is not specific to Staphylococcus and does not directly destroy infectious exudate. It prevents infections like gonorrhea.

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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?

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Naxlex Comprehensive Predictor Exams

After several hours of using imagery and music to promote comfort, the laboring client becomes discouraged and frustrated. What action will the nurse take?

Correct Answer is B

Explanation

A new father wants to know what medication was put into his infant’s eyes and why it is needed. How does the nurse explain the purpose of the erythromycin ophthalmic ointment?

Correct Answer is B

Explanation

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Along with gas exchange and nutrient transfer, the placenta produces many hormones necessary for normal pregnancy. These include (select all that apply)

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When administering Pitocin, you should start at a low dose and work your way up slowly to a dose that provides the best contraction rate.

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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?

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?