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Skyscape - USMLE® Question of the Week

A 28-year-old primigravid woman at 30 weeks gestation comes to the physician for a routine prenatal visit. She has had normal prenatal laboratory results including negative urine culture during the first trimester. She feels well and has no contractions, fluid leakage, or vaginal bleeding. The woman works in an office as a financial advisor and plans on working until she goes into labor. Her temperature is 37 .2 C (99 F), blood pressure is 110/70 mm Hg, and pulse is 88/min. Physical examination, including fetal heart tones, is normal. At the end of the visit, the woman mentions that her niece died from neonatal group B streptococcal infection; she is afraid that this could happen to her baby. Which of the following is the most appropriate response to this patient?

A	"I understand your concern. I will administer antibiotics during your labor and delivery."

B	"I understand your concern. I will check for the presence of this bacterium 3-5 weeks before your expected delivery date."

C	"I understand your concern. I will order vaginal and rectal cultures now."

D	"Only a small percentage of children develop this infection, the rest are fine."

E	"Your niece would not have developed the infection if the obstetrician had followed the standard of care."

iOS & Android Apps

980+ total questions*

USMLE Step 2 CK with First Aid Q&A for the USMLE Step 2 CK

1000+ total questions*

450 Questions, Ans and Rationales

First Aid for the USMLE Step 1

Includes Netters Anatomy Atlas

Anatomy Flash Cards

* In app purchase required

Tutors

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