A nurse is reinforcing teaching with a client who tested positive for group B streptococcus B- hemolytic (GBS) during a prior pregnancy and is at 30 weeks of gestation. Which of the following statements should the nurse make?

“This infection can cause your baby to experience hearing loss at birth."

“If you test positive for GBS, the provider will need to perform a cesarean birth."

"You will be tested again for GBS at about 36 weeks of gestation."

"You will take an antibiotic during the last 2 weeks of pregnancy to avoid transferring GBS to your baby."

Answer and Explanation

The Correct Answer is C

A: This infection does not directly cause hearing loss at birth. Hearing loss in newborns can be associated with genetic factors, birth complications, and certain infections, but GBS is not known to be a direct cause of hearing impairment.

B: A positive GBS test result does not necessitate a cesarean birth. The standard management for GBS-positive mothers is the administration of intrapartum antibiotic prophylaxis, not cesarean delivery, unless there are other obstetric indications.

C: Testing for GBS is typically done between 36 and 37 weeks of gestation because this timing is close to delivery, when the test results are most predictive of the baby's risk of exposure during birth.

D: Antibiotics are not given during the last 2 weeks of pregnancy to prevent GBS transmission. Instead, they are administered during labor to ensure effective levels of the drug during delivery, which is the critical period for preventing transmission to the baby.

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Correct Answer is D

Explanation

A: Using a plastic cover on the crib mattress can lead to overheating and discomfort for the baby. It is not recommended.
B: Bumper pads pose a suffocation and entrapment risk for infants. They should not be used in the crib.
C: Placing a newborn on a foam-wedge cushion can increase the risk of suffocation. Infants should be placed on their backs on a firm mattress without any extra padding.
D: Ensuring that the mattress fits snugly against the sides of the crib prevents any gaps where the baby could become trapped. This is an important safety measure.

A. Administer the medication into the deltoid muscle. B. Check the mother's Rh factor prior to administration. C. Administer the medication 12 hr after birth. D. Administer the medication with a 25 gauge needle.

Correct Answer is D

Explanation

A: Administering the medication into the deltoid muscle is not recommended for newborns due to their underdeveloped muscle mass and the potential for injury. The vastus lateralis muscle in the thigh is the preferred site for intramuscular injections in infants.

B: Checking the mother's Rh factor is not directly related to the administration of phytonadione, which is given to prevent vitamin K deficiency bleeding in the newborn, a condition unrelated to the mother's Rh factor.

C: Administering the medication 12 hours after birth is not the standard practice. Phytonadione is typically given within the first hour after birth to ensure prompt prevention of hemorrhagic disease of the newborn.

D: Administering the medication with a 25 gauge needle is appropriate as it is small enough to cause minimal discomfort and large enough to ensure proper delivery of the medication into the infant's muscle tissue.

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A nurse is reinforcing teaching with a client who tested positive for group B streptococcus B- hemolytic (GBS) during a prior pregnancy and is at 30 weeks of gestation. Which of the following statements should the nurse make?

Nursing Test Bank

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Correct Answer is D

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Correct Answer is D

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