Question

1. The nurse is caring for a laboring client who is GBS+ (Group B streptococcus). Which immediate treatment is indicated for this client?

1. Administration of Pitocin
2. Artificial rupture of the membrane
3. Amnioinfusion for the baby
4. Administration of antibodies

1. The nurse examines a client who is admitted in active labor and determines the cervix is 3cm dilated 50% effaced, and the presenting part is at 0 stations. An hour later, she tells the nurse that she wants to go to the bathroom. Which action should the nurse implement first.

1. Check the pH of the vaginal fluid
2. Review the fetal heart rate pattern
3. Palpate the client’s bladder
4. Determine cervical dilation

Answer 1

The nurse is caring for a laboring client who is GBS+ (Group B streptococcus). Which immediate treatment is indicated for this client?

ANSWER: d. Administration of antibodies

For a laboring client who is GBS+ antibiotic should be given to help protect babies from infection. If antibiotics are not given in time to mother with GBS+ a serious illness known as group B strep disease can occur to newborn.

Antibiotics cannot be given before labor begins because the bacteria can grow back quickly.

The nurse examines a client who is admitted in active labor and determines the cervix is 3cm dilated 50% effaced, and the presenting part is at 0 stations. An hour later, she tells the nurse that she wants to go to the bathroom. Which action should the nurse implement first.

ANSWER: c. Palpate the client’s bladder

Full bladder can hinder mother’s uterus from contracting efficiently. Mother’s bladder need to palpate and check for full bladder because an empty bladder leaves more space for the baby to pass through and deliver the baby in time.