During the assessment of a 35-week gestation client admitted to the obstetrics unit in active labor, the nurse notes the following: estimated fetal weight less than 2500 grams; membranes ruptured 12 hours ago; blood type AB negative; positive rubella titer; positive vaginal culture for Group B streptococcus; current vital signs: T 99.2°F, P 104, R 26, B/P 128/88. Identify the most appropriate action by the nurse at this time.
A)Administer a MMR vaccine.
B)Call the on-call pediatrician to warn him about a premature infant delivery.
C)Order a type and cross-match for two units of blood.
D)Administer an ordered IV antibiotic.

Question

Quizplus · Accepted Answer

The client's positive vaginal culture for Group B streptococcus indicates the need for administration of IV antibiotics to prevent transmission of infection to the newborn during delivery. The other options are not necessary or appropriate at this time.

During the Assessment of a 35-Week Gestation Client Admitted to the Obstetrics