MATERNITY CASE 2: BRENDA PATTON - VSIM FOR NURSING
PHARMACOLOGY TEST FULLY SOLVED #11
The nurse is providing education to a patient about group B streptococcus (GBS) during
a prenatal visit. This education session would include which statement from the
following choices? - correct answer Between 35 and 37 weeks' gestation, GBS
screening is done to detect this bacteria.
What are the possible complications that a newborn can acquire from the mother with a
positive GBS status during the birthing process? - correct answer Pneumonia, sepsis,
meningitis.
The nurse is carrying out a provider's order to administer an antibiotic by intravenous
secondary infusion. In what order would the nurse complete the steps below? - correct
answer 1.) Verify the provider's order
2.) Check the patient's allergy status
3.) Confirm patient identity with two identifiers
4.) Explain the procedure to the patient
5.) Assess the patient's IV site
6.) Check the rights of medication administration
A laboring woman with a positive GBS status was admitted to the hospital with ruptured
fetal membranes. What maternal temperature reading would be reported to the primary
healthcare provider? - correct answer 100.8 F
A patient is admitted in active labor, and she has a right occipitoanterior (ROA)
presentation. The nurse is applying the external fetal monitor. Where does the nurse
place the fetal ultrasound transducer? - correct answer Right lower quadrant.
A patient with ruptured fetal membranes has been in labor for several hours. What signs
and symptoms of intrapartum infection would the nurse report to the primary medical
provider? - correct answer Cloudy, foul-smelling vaginal discharge. Fetal heart rate at
168 bpm.
A primigravida is admitted to labor and delivery. A review of her prenatal records
revealed a urinanalysis with a negative WBC count, RBC count, leukoesterase, and
nitrates, and positive glucose and ketones; a serology report that was positive for
hepatitis B surface antigens; and a microbiology report positive for GBS. For which of
the following reasons would the nurse initiate intrapartum prophylaxis antibiotics? -
correct answer Positive GBS culture.
What range is considered a normal baseline FHR? - correct answer 110 to 160 bpm
In what stage and phase of labor is a woman experiencing contractions every 5-10
minutes and with a vaginal examination of 2cm dilation, 50% effacement, and -2
station? - correct answer First stage, latent phase
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