Question

A 39‑week gravida with unknown GBS status presents in labor after 20 hours of membrane rupture and low‑grade intrapartum fever (100.6°F). No penicillin allergy. What is the best intrapartum management to prevent neonatal EOD?

Accepted Answer

Penicillin G 5 million units IV load, then 2.5-3 million units IV every 4 h until delivery

Answer

No antibiotics needed at term

Answer

Cefazolin 1 g IV once at admission

Answer

Clindamycin 900 mg IV every 8 h

Answer

Vancomycin 1 g IV every 12 h for all unknowns

Practice question

A 39‑week gravida with unknown GBS status presents in labor after 20 hours of membrane rupture and low‑grade intrapartum fever (100.6°F). No penicillin allergy. What is the best intrapartum management to prevent neonatal EOD?