Complications in Early Pregnancy Related

Review Complications in Early Pregnancy related questions and content

The labor and delivery nurse reviews a client’s prenatal records and notes that the client had a positive GBS culture at 27 weeks gestation. Based on current guidelines, what is the recommended plan?

  • A. Send a GBS to the laboratory immediately
  • B. Prepare to administer penicillin prophylactically
  • C. Determine if a follow-up culture was done at 38 weeks gestation
  • D. Determine if the patient received antibiotics for the positive strep
Correct Answer: B

Rationale: The correct answer is B: Prepare to administer penicillin prophylactically. This is recommended by current guidelines for clients with a positive GBS culture at 27 weeks gestation to prevent transmission to the newborn during delivery. Administering penicillin prophylactically during labor significantly reduces the risk of early-onset GBS disease in newborns.

A: Sending a GBS to the laboratory immediately is not necessary as the client's GBS status is already known.

C: Checking for a follow-up culture at 38 weeks gestation is not the recommended plan based on current guidelines.

D: Determining if the patient received antibiotics for the positive strep is not the immediate action needed; prophylactic antibiotics during labor are the standard of care.