Midwifery National Exam Practice MCQ's 2 Study Guide.

What you explain to women about GBS screening... - Transient micro-organism found in the vagina and bowel. Screening is RISK BASED approach... o previous GBS-affected infant o GBS bacteruria this pregnancy o preterm (< 37 weeks) labour and imminent birth o intrapartum fever > 380C o membrane rupture > 18 hrs. Via HVS/rectal/MSU ?36/40 Early-onset neonatal Group B Streptococcus (GBS) infection is the leading cause of infectious disease in the newborn. What details you must discuss with women with GBS risk factors... - - risks & treatment - involvement of AB's - any Hx of penicillin allergy GBS cases - management... - • All newborn babies showing signs of sepsis should undergo immediate referral and assessment from a paediatrician. This will include a full blood count and blood cultures. While waiting for culture results antibiotic therapy is recommended for at least 48-hours. • suspected chorioamnionitis - immediate assessment and referral to a paediatrician. Antibiotic therapy is recommended for babies showing signs of sepsis. • Healthy-appearing babies born at > 35-weeks gestation to women with GBS risk factors and who have received appropriate antibiotics > 4-hours before birth require no investigations or treatment, but should be observed closely for at least 24 hours post-partum. This includes close observation at home.