Brenda Patton - vSim for Nursing
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?
- 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?
- 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?
- 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?
- 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?
- 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?
- 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?
- Positive GBS culture.
What range is considered a normal baseline FHR? - 110 to 160 bpm
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?
- 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?
- 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?
- 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?
- 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?
- 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?
- 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?
- Positive GBS culture.
What range is considered a normal baseline FHR? - 110 to 160 bpm
