Which of the following statements about Group B Streptococcus (GBS) in pregnancy is true?

GBS can only be transmitted to the baby during cesarean delivery.

GBS is a common bacterium found in the vaginal flora of women and is harmless in all cases.

Screening for GBS is typically performed at the first prenatal visit.

Intravenous antibiotics during labor are recommended for GBS-positive mothers to prevent neonatal infection.

Answer and Explanation

The Correct Answer is D

Choice A rationale

GBS can be transmitted to the baby during both vaginal and cesarean deliveries if the mother is colonized with the bacteria. It is not limited to cesarean sections, hence why appropriate screening and treatment are essential.

Choice B rationale

GBS, although often harmless in the general population, can cause severe infections in newborns. This bacterium can be a source of severe neonatal infections like sepsis, pneumonia, and meningitis, necessitating preventive measures during pregnancy and delivery.

Choice C rationale

Screening for GBS is typically performed between 35 and 37 weeks of gestation, not at the first prenatal visit. This timing ensures accurate detection of the bacteria closer to the time of delivery.

Choice D rationale

Intravenous antibiotics during labor are recommended for mothers who test positive for GBS to prevent transmission to the baby. This intervention significantly reduces the risk of neonatal GBS infection.

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Correct Answer is A

Explanation

Choice A rationale

Brisk patellar deep tendon reflexes can indicate central nervous system irritability, which might suggest conditions like preeclampsia or eclampsia if accompanied by other symptoms. It's critical to assess and monitor for further complications.

Choice B rationale

A moderate amount of lochia on the perineal pad over 2 hours is normal postpartum bleeding and does not typically indicate an immediate concern if within expected ranges.

Choice C rationale

A fundus at the level of the umbilicus is an expected finding 4 hours postpartum and indicates normal uterine involution. It is not a priority concern at this stage.

Choice D rationale

Approximated edges of an episiotomy indicate that the incision is healing properly without signs of infection or dehiscence. This is a normal and expected finding in the postpartum period.

A. Administer prescribed antipyretics for maternal fever. B. Prepare the client for emergency cesarean section. C. Administer glucocorticoids intramuscularly. D. Recheck the client's temperature in 4 hr.

Correct Answer is A

Explanation

Choice A rationale

Administering antipyretics for maternal fever is essential as elevated maternal temperatures can increase the risk of fetal tachycardia and potentially lead to fetal distress. Reducing fever promptly is a priority to stabilize both maternal and fetal conditions.

Choice B rationale

Preparing for an emergency cesarean section is not the immediate step for maternal fever; instead, managing the fever and assessing the need for further interventions based on the overall clinical picture should be prioritized.

Choice C rationale

Administering glucocorticoids is indicated for promoting fetal lung maturity in preterm labor, not specifically for maternal fever management. Fever management requires antipyretics and hydration.

Choice D rationale

Waiting 4 hours to recheck temperature delays prompt management, increasing risks for both the mother and fetus. Immediate action to reduce fever is crucial to prevent potential complications.

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Which of the following statements about Group B Streptococcus (GBS) in pregnancy is true?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is 4 hours postpartum following a vaginal delivery.Which of the following findings should the nurse identify as the priority?

Correct Answer is A

Explanation

A nurse is providing care to a woman who is at 36 weeks of gestation and in preterm labor with ruptured membranes.The nurse determines that the client's oral temperature is 39.0 C (102.2 F). Besides notifying the provider, which of the following is an appropriate nursing action?

Correct Answer is A

Explanation

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