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","C","E"]

Explanation

Choice A rationale

Pumping up the vacuum manually to the pressure indicated on the pump is a standard procedure but doesn't directly minimize liability.

Choice B rationale

Recognizing cup detachment (pop off) as a warning sign is critical, as it indicates excessive force or poor positioning, which can lead to fetal or maternal injury.

Choice C rationale

Limiting the cup's attachment to the fetal head to 5 to 10 minutes reduces the risk of scalp injury and other complications, thus minimizing liability.

Choice D rationale

Timing the procedure from insertion of the cup into the vagina until the birth is a guideline but doesn't specifically address liability concerns.

Choice E rationale

Releasing pressure between contractions prevents continuous suction on the fetal head, reducing the risk of injury and thereby minimizing liability.

A. Give the baby oral rehydration therapy in place of all feedings. B. Rotate the baby from side to back to side to front every 2 hours. C. Apply restraints to keep the baby under the light source. D. Administer intravenous fluids via pump per doctor orders.

Correct Answer is B

Explanation

Choice A rationale

Oral rehydration therapy is not used in place of feedings for infants undergoing phototherapy for elevated bilirubin levels. It's crucial to maintain proper nutrition and hydration through regular feedings.

Choice B rationale

Rotating the baby helps ensure even exposure to the bili lights, which aids in breaking down bilirubin effectively across the baby's body.

Choice C rationale

Applying restraints is inappropriate and unnecessary. It could cause distress and is not a standard practice for phototherapy.

Choice D rationale

Administering intravenous fluids is not typically needed unless there's a risk of dehydration or other medical indications as per the doctor's orders.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When assisting with a vacuum-assisted vaginal delivery, the nurse is aware that adherence to which guidelines for the vacuum device will minimize the nurse's liability in vacuum-assisted vaginal births? Select all that apply.

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

Explanation

An 18-hour-old baby with an elevated bilirubin level is placed under the bili lights.Which of the following is an expected nursing action in these circumstances?

Correct Answer is B

Explanation

In which of the following situations should a nurse report a possible deep vein thrombosis (DVT)?

A delirious client is admitted to the hospital in labor.She has had no prenatal care and vials of crack cocaine are found in her pockets.The nurse monitors this client carefully for which of the following intrapartum complications?

A client is on magnesium sulfate for pre-eclampsia with severe features.The nurse must notify the attending physician regarding which of the following findings?

A client is scheduled for an external version.The nurse would expect to prepare which of the following medications to be administered prior to the procedure?

The nurse is assisting the primary care provider (PCP) with a vacuum-assisted delivery because of a prolonged second stage of labor.The nurse will inform the PCP when which guideline of the procedure is met?

A client with an obstetrical history of G1 P0000 received dinoprostone for cervical ripening 8 hours ago.The Bishop score at that time was 4. The Bishop score is now 10. Which of the following actions by the nurse is appropriate?