MIDWIFERY NATIONAL EXAM WITH GUARANTEED ACCURATE ANSWERS |VERIFIED
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MIDWIFERY NATIONAL
What you explain to women about GBS screening... - ACCURATE ANSWERTransient micro-organism found in the vagina and bowel.
Screening is RISK BASED approach...
o previous GBS-affected infant
o GBS bacteruria this pregnancy
o preterm (< 37 weeks) labour and imminent birth
o intrapartum fe...
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MIDWIFERY NATIONAL EXAM
MIDWIFERY NATIONAL EXAM WITH GUARANTEED ACCURATE ANSWERS |
VERIFIED
What you explain to women about GBS screening... - ACCURATE
ANSWER✅✅Transient micro-organism found in the vagina and
bowel.
Screening is RISK BASED approach...
o previous GBS-affected infant
o GBS bacteruria this pregnancy
o preterm (< 37 weeks) labour and imminent birth
o intrapartum fever > 380C
o membrane rupture > 18 hrs.
,Via HVS/rectal/MSU ?36/40
Early-onset neonatal Group B Streptococcus (GBS) infection is the
leading cause of infectious disease in the newborn.
What details you must discuss with women with GBS risk factors... -
ACCURATE ANSWER✅✅- risks & treatment
- involvement of AB's
- any Hx of penicillin allergy
GBS cases - management... - ACCURATE ANSWER✅✅• All
newborn babies showing signs of sepsis should undergo immediate
referral and assessment from a paediatrician. This will include a full
blood count and blood cultures. While waiting for culture results
antibiotic therapy is recommended for at least 48-hours.
• suspected chorioamnionitis - immediate assessment and referral to a
paediatrician. Antibiotic therapy is recommended for babies showing
signs of sepsis.
• Healthy-appearing babies born at > 35-weeks gestation to women with
GBS risk factors and who have received appropriate antibiotics > 4-
hours before birth require no investigations or treatment, but should be
observed closely for at least 24 hours post-partum. This includes close
observation at home.
,• Well-appearing babies born at > 35-weeks gestation to women with
GBS risks factors who have received either no or inadequate (< 4-hours)
antibiotics during labour should be observed closely for at least 24-
hours. It is recommended that this be in hospital and that referral may be
considered.
• Well-appearing babies born at < 35-week gestation to women without
chorioamnionitis, who have not received antibiotics > 4 hours before
birth need close observation for at least 48-hours. It is recommended that
this be in hospital and that referral may be considered.
placenta previa - ACCURATE ANSWER✅✅• bleeding from an
abnormally located placenta
Which of the following are associated with placenta previa?
What is the best practice if placenta previa/vasa previa is diagnosed at or
beyond 32/40?
a. Consultation
b. USS at 36/40
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