Question

nursing interventions for mother who is pregnant  and tested positive for Group B Streptococcus list interventions for mother infant and fetus.

Answer 1

Intervention for infant and foetus

Infection in the newborn is confirmed by Group B streptococcus bacteria from the infant's blood or cerebrospinal fluid the following intervention are done

• Assess the newborn for signs and symptoms of respiratory distress (expiratory grunting and cyanosis are commonly seen, as are nasal flaring and chest retractions).
• Newborns may exhibit signs of thermoregulatory dysfunction. Cardiovascular signs could include hypo- or hypertension and dysrhythmias. Assess
• infants develop tremors or seizures.
• Treatment of neonates with GBS infection consists of antimicrobial therapy
• abscess drainage
• strict attention to supportive care that is supporting ventilation
• maintaining fluid and electrolyte balance
• controlling seizures
• recognizing and treating anemia and shock.
• GBS is sensitive to penicillin G, ampicillin, extended-spectrum penicillins, first- and second-generation cephalosporins, and vancomycin, but penicillin G is the most narrow-spectrum and active agent in vitro.
• Prevent hyperthermia by providing antipyretics

Interventions for mother

• Obtain information regarding client’s past and present sexual partners and exposure to any STDs.
• Assess for any specific signs and symptom
• Assess Visible lesions/warts;
• Urinary frequency; dysuria; cloudy, foul-smelling urine;
• Change in color, consistency, and amount of vaginal discharge.
• Determine status of maternal membranes. If they are ruptured, monitor blood cell count and fetal heart rate; or vaginal discharge having an
• Analgesics (e.g., acetaminophen, codeine)
• Vaginal/rectal culture for gonococci/chlamydiae
• Urine for routine urinalysis, culture, and sensitivity
• Acyclovir (Zovirax) capsules
• Penicillin/penicillin G, erythromycin and Ceftriaxone or spectinomycin
• Pyrimethamine (Daraprim) and sulfadiazine
• Folic acid
• Metronidazole (Flagyl
• Encourage the use of humidified air, increased fluid intake, and use of semi-Fowler’s position
• Client education