NURS 3334 Exam 4 Practice Questions and 100% Correct Answers

What is the intrapartum period? Labor and delivery What is the prognosis of GBS? Can be treated with antibiotics! Can manifest in neonates as sepsis, pneumonia, or meningitis. Assessment of GBS: Usually pregnant women are symptomatic. Checked for GBS at 36 weeks (recommended between 35-37 weeks). Colonization will come and go. Women with GBS in urine at any point of pregnancy and have delivered an infant with developed GBS a week after birth will be treated with antibiotics in labor. GBS Culture: Taken from vaginal introitus and rectum. Swab for each site or one single swab. How can you treat GBS during labor? Protects newborns from developing GBS infection before 6 days of age. This care is provided for GBS positive women. Antibiotics are begun at time of admission for ROM or labor, and are administered every 4 hours until delivery. IV antibiotics are used to create high maternal serum level of antibiotic that will cross placenta for uptake. How are preterm labors screened for GBS? Treated with GBS prophylaxis without screening. Treatment is stopped if labor stops. GBS prophylaxis is provided for preterm premature rupture of membranes unless and until results from GBS culture test is negative. When are antibiotics started for GBS? 4 hours or more prior to delivery to be considered adequate.