During the Assessment of a 35-Week Gestation Client Admitted to the Obstetrics

Multiple Choice

During the assessment of a 35-week gestation client admitted to the obstetrics unit in active labor, the nurse notes the following: estimated fetal weight less than 2500 grams; membranes ruptured 12 hours ago; blood type AB negative; positive rubella titer; positive vaginal culture for Group B streptococcus; current vital signs: T 99.2°F, P 104, R 26, B/P 128/88. Identify the most appropriate action by the nurse at this time.

A) Administer a MMR vaccine.
B) Call the on-call pediatrician to warn him about a premature infant delivery.
C) Order a type and cross-match for two units of blood.
D) Administer an ordered IV antibiotic.