A nurse in reviewing records for a laboring client. What are three factors that would necessitate prophalytic anitibotic treatment f fir group B streptococcus in laboring

1. Testing pregnant women for GBS bacteria

2. Giving antibiotics, during labor, to women at increased risk

Explanation:

Testing pregnant women for GBS bacteria

The American College of Obstetricians and Gynecologists (ACOG) and American College of Nurse-Midwives (ACNM) recommend women get tested for GBS bacteria when they are 36 through 37 weeks pregnant. The test is simple and does not hurt. Clinicians use a sterile swab (“Q-tip”) to collect a sample from the vagina and the rectum. They send the sample to a laboratory for testing.

Women who test positive for GBS are not sick. However, they are at increased risk for passing the bacteria to their babies during birth.

Giving antibiotics, during labor, to women at increased risk

Clinicians give antibiotics to women who are at increased risk of having a baby who will develop GBS disease. The antibiotics help protect babies from infection, but only if given during labor. Doctors cannot give antibiotics before labor begins because the bacteria can grow back quickly.

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