Author Question: A client is diagnosed with Group B Streptococcus at 33 weeks' gestation. The client becomes tearful ... (Read 45 times)

newbem · **on:** Jun 25, 2018

A client is diagnosed with Group B Streptococcus at 33 weeks' gestation. The client becomes tearful when the diagnosis is discussed. She asks what will be done next. Which information should the nurse provide to the client?

1. The client will receive oral antibiotics to be taken over the next 7 weeks.
2. The infection will be managed with IV antibiotics when the client is in active labor.
3. Due to the limited risk of transmission, the client will begin treatment during the postpartum period.
4. The client will require IM antibiotic treatment to facilitate a rapid cure.

Question 2

The client who is at 5 weeks' gestation presents in the emergency department (ED) with complaints of severe abdominal and pelvic pain.

A vaginal examination reveals tenderness and a palpable mass near the uterus. Based upon your knowledge, which can the nurse anticipate will take place first?
1. The client will be sent home on bed rest.
2. The client will be admitted to the acute care facility for observation.
3. The client will be evaluated in the labor and delivery department with a nonstress test.
4. An ultrasound will be ordered.

Sarahjh · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 2
Group B Streptococcus is treated when the client goes into active labor. The treatment involves IV antibiotics. Initiating treatment during labor allows for the transmission of the medications across the placental barrier. Oral and intramuscular antibiotics are not indicated for this infection.

Answer to Question 2

Correct Answer: 4
The client is presenting with manifestations consistent with an ectopic pregnancy. The ultrasound will be used to assist in confirming the condition. Sending the client home without a thorough evaluation could result in rupture of the ectopic and place the client at great risk. Observation may be indicated if the ectopic pregnancy is ruled out. The client's gestational age is not yet advanced enough to utilize a nonstress test for evaluation.