NUR4545 — BRENDA PATTON Vsim questions with well verified answers AND ALL TOPICS
AVAILABLE
Maternity Case Practice Questions & Answers
1. Patient Identification and Situation
Question 1
Brenda Patton is admitted to labor and delivery. Which finding is most important to recognize
initially?
A. She has mild nausea
B. She is in active labor and is GBS positive
C. She has a normal appetite
D. She has no known medication allergies
**Answer: .B**
**Rationale:** The combination of active labor, ruptured membranes, and positive GBS status is
central to the case because intrapartum antibiotic prophylaxis is indicated.
---
## 2. Group B Streptococcus
### Question 2
,When is routine screening for maternal GBS generally performed?
A. 12–16 weeks
B. 20–24 weeks
C. 36 0/7–37 6/7 weeks
D. Only after delivery
**Answer: .C**
**Rationale:** Current CDC/ACOG-based practice uses late-pregnancy screening around 36 0/7
through 37 6/7 weeks.
### Question 3
Why is intrapartum antibiotic prophylaxis given to a laboring patient who is GBS positive?
A. To treat maternal hypertension
B. To reduce the risk of early-onset GBS infection in the newborn
C. To accelerate cervical dilation
D. To prevent postpartum hemorrhage
**Answer: .B**
### Question 4
Which newborn complications are associated with early-onset GBS disease?
, A. Pneumonia, sepsis, and meningitis
B. Diabetes, jaundice, and anemia
C. Asthma, eczema, and anemia
D. Cleft palate and neural tube defects
**Answer: .A**
Sources describing this Brenda Patton case likewise identify pneumonia, sepsis, and meningitis
as potential neonatal complications.
---
# 3. Intrapartum Antibiotic Therapy
### Question 5
Which medication would the nurse anticipate for intrapartum GBS prophylaxis in a patient
without a penicillin allergy?
A. Penicillin G
B. Warfarin
C. Oxytocin only
D. Magnesium sulfate
**Answer: .A**
AVAILABLE
Maternity Case Practice Questions & Answers
1. Patient Identification and Situation
Question 1
Brenda Patton is admitted to labor and delivery. Which finding is most important to recognize
initially?
A. She has mild nausea
B. She is in active labor and is GBS positive
C. She has a normal appetite
D. She has no known medication allergies
**Answer: .B**
**Rationale:** The combination of active labor, ruptured membranes, and positive GBS status is
central to the case because intrapartum antibiotic prophylaxis is indicated.
---
## 2. Group B Streptococcus
### Question 2
,When is routine screening for maternal GBS generally performed?
A. 12–16 weeks
B. 20–24 weeks
C. 36 0/7–37 6/7 weeks
D. Only after delivery
**Answer: .C**
**Rationale:** Current CDC/ACOG-based practice uses late-pregnancy screening around 36 0/7
through 37 6/7 weeks.
### Question 3
Why is intrapartum antibiotic prophylaxis given to a laboring patient who is GBS positive?
A. To treat maternal hypertension
B. To reduce the risk of early-onset GBS infection in the newborn
C. To accelerate cervical dilation
D. To prevent postpartum hemorrhage
**Answer: .B**
### Question 4
Which newborn complications are associated with early-onset GBS disease?
, A. Pneumonia, sepsis, and meningitis
B. Diabetes, jaundice, and anemia
C. Asthma, eczema, and anemia
D. Cleft palate and neural tube defects
**Answer: .A**
Sources describing this Brenda Patton case likewise identify pneumonia, sepsis, and meningitis
as potential neonatal complications.
---
# 3. Intrapartum Antibiotic Therapy
### Question 5
Which medication would the nurse anticipate for intrapartum GBS prophylaxis in a patient
without a penicillin allergy?
A. Penicillin G
B. Warfarin
C. Oxytocin only
D. Magnesium sulfate
**Answer: .A**
