GBS Case studies -1 GBS case studies -2 Misc Medications Infant care
100
What is NO
Patient is 34 weeks gestation and was GBS negative 2 weeks ago and has had rupture of membranes X 20 hours. . In this situation would you choose intrapartum prophylaxis antibiotics
100
What is NO
Patient is 36 weeks gestation and has had rupture of membranes for over 20 hours. Her GBS culture 5 days ago was negative. Will you treat her with intrapartum antibiotics prophyalactcally?
100
What is Take the sterile swab our of the package and insert it into the lower 1/3rd of the vagina and then place it into the anal sphincter. Then place the swab into the medium and return the sample to you.
What do you instruct the patient to do when they have not had the GBS swab done and you are wanting them to go and collect it them selves.
100
What is Cefazolin
A woman who is penicillin allergic (with low risk for anaphylaxis) had a positive GBS screening at 36 weeks. The lab reported that the cultured GBS is resistant to erythromycin. Which antibiotic is recommended for GBS prophylaxis in labour?
100
What is Apnea, tachypnea,temperature instability, tachycardia, lethargy ,poor feeding, poor peripheral perfusion,hypotension,hypotonia,and acidosis
A 24 year old woman has given birth at 41 weeks gestation. She was started on intrapartum antibiotics prophylaxis (IAP) for a positive GBS culture but gave birth 2 hours later. Her newborn boy had apgars of 6 and 9 at one and 5 minutes. What would be early signs of neonatal sepsis ?
200
What is YES
Patient is term gestation in labour . Her GBS status is unknown, membranes are intact and she has a maternal fever of 38.5 C orally. Are you choosing intrapartum antibiotics for her?
200
What is YES
Should a labouring women who is planning on having an elective c-section and is GBS positive receive antibiotics to prevent neonatal GBS sepsis
200
What is Managing Obstetrical Risks Efficiently
What does MOREob stand for?
200
What is Penicillin G
What medication is the preferred treatment for GBS prophylaxis if a woman is not allergic to penicillin?
200
What is Observe vital signs every 4 hours for 48 hours. Consider a CBC at minimum of 4 hours after delivery. No antibiotics at this time
Patient received Penicillin for positive GBS results 1 1/2 hours before delivering her baby girl. What management plan would you have for this baby girl?
300
What is Yes
Patient is 37 weeks gestation and has been tested for GBS and it was positive at 35 weeks. Her membranes ruptured X 12 hours are you wanting intrapartum antibiotics for her?
300
What is YES
A pregnant woman who is 39 weeks and 1/7 presents to hospital in labour with breech presentation . She had rupture of membranes 2 hours ago. She tells you she never had the GBS swab done. Should you treat her tom prevent neonatal GBS<
300
What is GBS
and Antepartum haemorrhage
Name the two chapters from year one that you had to have read before today.
300
What is Pen G and Cefazolin
Which 2 antibiotics are considered adequate if given at least 4 hours before birth
300
What is The most important principle is early consultation, investigation and treatment are essential. Management approach would include full evaluation including CBC, Blood cultures chest x-ray and =/- lumbar puncture and empirical antibiotic therapy.
Baby born to a mom who was GBS positive but allergic to PEN G . She received one dose of clindamycin 3 hours before her baby delivered. At 6 hours of age the baby is showing signs of neonatal sepsis. What is the most important principle in managing a symptomatic infant? What would now be the appropriate management?
400
What is YES
Patient is term gestation with ruptured membranes X 20 hours and is 4 cm dilated. She has normal V.S.and temperature. Her GBS is unknown. Are you going to treat her prophylactic with antibiotics<
400
What is YES
Patient is 41 2/7 weeks presenting to you in labour . Cervix is 5-6 cm with intact membranes and was negative for GBS at 36 0/7 weeks . Should you treat her intrapartum with antibiotics if she was negative 5 weeks and 2 days ago?
400
What is 500 mLs
What is an acceptable amount of blood to lose in a NSD
400
What is no set number. It is considered inadequate when managing a newborn
Patient was severely allergic to penicillin and was GBS positive. GBS was sensitive to vancomycin. How many doses are considered effective in protecting the newborn from neonatal GBS
400
What is skin to skin with mom otherwise limited evaluation CBC after 4 hours from delivery ,blood culture and vital signs and observe for 48 hours or more.
An infant born at 34 weeks gestation to a woman who is positive for GBS who received 3 1/2 hours of antibiotic prophylaxis. Apgars 5 and 9 at one and 5 minutes . At 1 hour of life apart from some temperature instability temp 36.3 C the infant is doing well . What management would you plane for this infant.
500
What is NO
Patient is 36 weeks gestation and has a fever of 38.8 C but her GBS screen was negative last week. Will you treat her prophylactic
500
What is get her to collect the swab for GBS
Patient is 39 6/7 weeks gestation and presents to you in early labour. She hasn't been to see the Dr. in the last 6 weeks due to visiting her mom back home. Her Cx is 1 cm and long and she is contracting irregularly. What would be something you would want to obtain from her at this point
500
What is 1000mLs
What is an acceptable amount of blood to lose from a c-section
500
What is Clindamycin, Erythromycin, or IV Vancomycin
Patient is allergic to PEN G and has tested positive for GBS. What other drugs are used in treating the woman for GBS once the sensitivity is done
500
What is Ampicillin and Cefotaxime
Newborn baby born at 37 2/7 weeks gestation who presents unwell with clinical signs of sepsis and requires prompt investigation including the initiation of an IV. What empirical intravenous antibiotics are you going to start .






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