A client at 37 weeks' gestation has been advised that she is positive for group B streptococcus (GBS). Which of the following comments by the nurse is appropriate at this time?

A. The doctor will prescribe intravenous antibiotics for you.A visiting nurse will administer them to you in your home.

You are at very high risk for an intrauterine infection. It is important for you to check your temperature every day.

The bacteria are living in your vagina. They will not hurt you, but we will give you medicine in labor to protect your baby from getting sick.

The bacteria cause scarlet fever. If you notice that your tongue becomes very red and that you feel feverish, you should call the doctor immediately.

Answer and Explanation

The Correct Answer is C

Choice A rationale

While intravenous antibiotics are given during labor to prevent GBS transmission to the baby, it is not administered at home but in the hospital when labor begins.

Choice B rationale

GBS does not significantly increase the risk of intrauterine infection that requires daily temperature checks; it primarily poses a risk of neonatal infection during delivery.

Choice C rationale

GBS bacteria reside in the vagina and can be transmitted to the baby during delivery. Administering antibiotics during labor helps protect the baby from serious GBS-related illnesses.

Choice D rationale

GBS does not cause scarlet fever or the symptoms described; those are caused by different bacteria, namely Streptococcus pyogenes. .

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Correct Answer is B

Explanation

Choice A rationale

Swaddling provides warmth but doesn't address jitteriness, which may be due to hypoglycemia.

Choice B rationale

Jitteriness in a newborn can indicate hypoglycemia. Prompt glucose assessment is crucial for early detection and management.

Choice C rationale

Feeding could help with glucose levels, but without knowing the glucose status, it might not be the immediate priority.

Choice D rationale

Routine medications are important but not as urgent as addressing possible hypoglycemia in a jittery baby.

A. Petechiae. B. Jaundice. C. 4+ deep tendon reflexes. D. 3+ pitting edema.

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

Explanation

Choice A rationale

Petechiae, small red or purple spots on the skin, indicate a low platelet count, which is a component of HELLP syndrome.

Choice B rationale

Jaundice, a yellowing of the skin and eyes, suggests liver involvement and hemolysis, both of which are features of HELLP syndrome.

Choice C rationale

4+ deep tendon reflexes are associated with severe pre-eclampsia but are not specific to HELLP syndrome.

Choice D rationale

3+ pitting edema, severe fluid retention causing swelling, can be a sign of HELLP syndrome, indicating liver or kidney involvement. .

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A client at 37 weeks' gestation has been advised that she is positive for group B streptococcus (GBS). Which of the following comments by the nurse is appropriate at this time?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

Which of the following physical findings would lead the nurse to suspect that a client who has pre-eclampsia with severe features has developed HELLP syndrome? Select all that apply.

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

Explanation

The nurse in a prenatal clinic is reviewing the files of four patients scheduled for visits.Which patient does the nurse identify as having the highest-risk pregnancy?

The primary healthcare provider for a client at 38 1/7 weeks' gestation calls the labor and delivery suite to schedule an induction for the next day.The client is having no medical or pregnancy complications.Which of the following responses by the nurse would be appropriate?

Which symptom would the nurse expect to observe in a postpartum client with a vaginal hematoma?

The nurse educator is preparing a presentation on preterm labor (PTL) and birth (PTB). Which information does the nurse recognize as being inaccurate?

A breastfeeding mother calls the obstetrician's office with a complaint of pain in one breast.Upon inspection, a diagnosis of mastitis is made.Which of the following nursing interventions is appropriate?

The antepartum nurse has just received shift report on four pregnant clients at 0700.Which of the clients should the nurse assess first?