Highlight the findings or orders that require follow-up before intrapartum group B streptococcal prophylaxis is administered.
Highlight in Table
Choose your responses, then check the answer.
Explanation
A positive GBS screen during labor requires intrapartum prophylaxis, while prior anaphylaxis, absent clindamycin susceptibility, an oral outpatient order, and a plan to delay until delivery require immediate clarification.
Quick answer Verify allergy severity, route, timing, and susceptibility.
Why this is correct Intrapartum IV antibiotics reduce neonatal GBS transmission. A high-risk penicillin allergy changes drug selection, and clindamycin use depends on susceptibility; treatment must occur during labor rather than after birth.
Easy analogy or mental picture Choose the correct key before labor advances, and deliver it through the route that reaches the intrapartum window.
Memory hook GBS in labor: IV prophylaxis now; severe allergy requires a susceptibility-aware alternative.
NCLEX decision rule Highlight any finding that changes whether prophylaxis is indicated, which drug is safe, or whether the route and timing can work.
Why the other choices are wrong A normal temperature and reassuring fetal heart rate do not correct an unsafe allergy or route plan.
References
1CDC: Prevention of Perinatal Group B Streptococcal DiseaseIntrapartum IV prophylaxis, allergy assessment, and susceptibility-guided alternative selection