Test your knowledge of early-onset GBS

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* 1. During which time period does early-onset GBS disease occur?

Within the first week of life

Before birth

Within the first month of life

After the first month of life

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* 2. True or False: Early-onset infections are typically acquired vertically through exposure to GBS from the vagina of a colonized woman, although the baby may become infected from sources other than the mother after birth.

True

False

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* 3. At what rate do pregnant women typically carry GBS?

1 in 10

1 in 2

1 in 4

1 in 100

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* 4. During pregnancy, when is it recommended for women to receive a GBS swab test?

At the first prenatal check-up

Whenever is convenient

At the beginning of the 2nd trimester

During the 36th or 37th week

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* 5. If a women tests positive for GBS in their urine or from their GBS swab test, what is recommended during birth?

Emergency C-section

To be induced one week early

Monitoring blood pressure changes during contractions

IV antibiotics for GBS when labor starts or your water breaks

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* 6. Pick the true statement.

GBS colonization is transient which means that a woman could test negative, but be colonized later in pregnancy and vice versa.

Being GBS colonized is the same as having a GBS infection

If I test negative for GBS, my baby is immune from GBS disease

GBS is only an issue during birth

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* 7. Which are signs of a GBS infection in babies?

Sounds - High-pitched cry, shrill moaning, whimpering, inconsolable crying, constant grunting or moaning as if constipated or in distress

Breathing - Fast, slow, or difficult breathing

Appearance of skin - Blue, gray, or pale skin, blotchy or red skin, tense or bulging fontanel (soft spot on a baby's head), infection (pus/red skin) at base of umbilical cord or in puncture on head from internal fetal monitor

Eating and Sleeping Habits - Feeding poorly, refusing to eat, not waking for feedings, sleeping too much, difficulty being aroused

Behavior- Marked irritability, projectile vomiting, reacting as if skin is tender when touched, not moving an arm or leg, listless, floppy, blank stare, body stiffening, uncontrollable jerking

Body Temperature - Fever or low or unstable temperature, hands and feet may feel cold even with a fever

All of the above

None of the above

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* 8. True or False: If a GBS positive mother gets IV antibiotics during labor there is only a 1 in 4,000 chance the baby will develop early-onset GBS disease, but without IV antibiotics the odds increase to 1 in 200.

True

False

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* 9. If you don't have a GBS test result, guidelines state you should be offered IV antibiotics based on what risk factor?

Your baby will be born before 37 weeks

Your water has been broken 18+ hours without delivering

You have a fever of 100.4 °F or higher during labor

Intrapartum NAAT result is negative but above risk factors develop

Intrapartum NAAT result positive for GBS

You were GBS colonized in a previous pregnancy

All of the above

None of the above

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* 10. True or False: Universal screening for GBS and prevention guidelines are implemented in every country.

True

False