Maternity Case 2: Brenda Patton - vSim for Nursing | Questions and Answers(A+ Solution guide)
The nurse is providing education to a patient about group B streptococcus (GBS) during a prenatal visit. This education session would include which statement from the following choices? - Between 35 and 37 weeks' gestation, GBS screening is done to detect this bacteria. What are the possible complications that a newborn can acquire from the mother with a positive GBS status during the birthing process? - Pneumonia, sepsis, meningitis. The nurse is carrying out a provider's order to administer an antibiotic by intravenous secondary infusion. In what order would the nurse complete the steps below? - 1.) Verify the provider's order 2.) Check the patient's allergy status 3.) Confirm patient identity with two identifiers 4.) Explain the procedure to the patient 5.) Assess the patient's IV site 6.) Check the rights of medication administration A laboring woman with a positive GBS status was admitted to the hospital with ruptured fetal membranes. What maternal temperature reading would be reported to the primary healthcare provider? - 100.8 F A patient is admitted in active labor, and she has a right occipitoanterior (ROA) presentation. The nurse is applying the external fetal monitor. Where does the nurse place the fetal ultrasound transducer? - Right lower quadrant. A patient with ruptured fetal membranes has been in labor for several hours. What signs and symptoms of intrapartum infection would the nurse report to the primary medical provider? - Cloudy, foulsmelling vaginal discharge. Fetal heart rate at 168 bpm. A primigravida is admitted to labor and delivery. A review of her prenatal records revealed a urinanalysis with a negative WBC count, RBC count, leukoesterase, and nitrates, and positive glucose and ketones; aserology report that was positive for hepatitis B surface antigens; and a microbiology report positive for GBS. For which of the following reasons would the nurse initiate intrapartum prophylaxis antibiotics? - Positive GBS culture
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