Nokea
What is the recommended method of screening for Group B Streptococcus (GBS) during pregnancy?
- A. Urine culture
- B. Rectovaginal culture
- C. Blood test
- D. Nasopharyngeal culture
Correct Answer: B
Rationale: The recommended method for screening GBS during pregnancy is a rectovaginal culture. This method involves swabbing the rectum and vagina to detect GBS colonization. This is crucial because GBS can be transmitted to the newborn during delivery, leading to serious infections. Urine culture (choice A) is not recommended for GBS screening as it does not accurately reflect vaginal colonization. Blood test (choice C) and nasopharyngeal culture (choice D) are also not appropriate for GBS screening during pregnancy. Rectovaginal culture is the gold standard method for identifying GBS colonization in pregnant women.
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Which stage of labor is characterized by the birth of the baby?
- A. First stage
- B. Second stage
- C. Third stage
- D. Fourth stage
Correct Answer: B
Rationale: The correct answer is B: Second stage. This stage of labor is characterized by the birth of the baby. It begins with complete dilation of the cervix and ends with the delivery of the baby. During this stage, contractions are strong and frequent, helping to push the baby out. The first stage (choice A) involves the onset of labor and the opening of the cervix. The third stage (choice C) involves the delivery of the placenta. The fourth stage (choice D) is the immediate postpartum period. Choices E, F, and G are not relevant to the stages of labor.
Which of the following is a potential complication of neonatal hypoglycemia?
- A. Jaundice
- B. Respiratory distress syndrome
- C. Intraventricular hemorrhage
- D. All of the above
Correct Answer: D
Rationale: Neonatal hypoglycemia can lead to jaundice, respiratory distress syndrome, and intraventricular hemorrhage.
Drag 1 condition and 1 client finding to fill in each blank in the following sentence. The client is at risk for developing -----------------due to-------------------
- A. Hypertension
- B. Vomiting
- C. Temperature
- D. Placenta abruption
- E. Spotaneous abortion
- F. Placenta previs
Correct Answer:
Rationale:
Which of the following is a potential complication of placenta previa?
- A. Preterm labor
- B. Fetal growth restriction
- C. Placental abruption
- D. All of the above
Correct Answer: C
Rationale: Placenta previa can lead to placental abruption, a serious condition where the placenta detaches from the uterine wall prematurely.
A nurse is caring for a client who is at 37 weeks of gestation and is being tested for group B streptococcus ß-hemolytic (GBS). The client is multigravida and multipara with no history of GBS. She asks the nurse why the test was not conducted earlier in her pregnancy. Which of the following is an appropriate response by the nurse?
- A. You didn't report any symptoms of GBS during your pregnancy.'
- B. Your previous deliveries were all negative for GBS.'
- C. There was no indication of GBS in your earlier prenatal testing.'
- D. We need to know if you are positive for GBS at the time of delivery.'
Correct Answer: D
Rationale: The correct answer is D: "We need to know if you are positive for GBS at the time of delivery." This response is appropriate because GBS status can change throughout pregnancy, and testing closer to delivery provides the most accurate information to guide treatment and prevent transmission to the newborn.
Choice A is incorrect as GBS is often asymptomatic and can be present without any noticeable symptoms. Choice B is incorrect because GBS status can change between pregnancies. Choice C is incorrect as GBS testing at 37 weeks is standard practice regardless of earlier prenatal testing results.