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GBS intrapartum decision-making — DRCOG MCQ

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HardObstetrics & GynecologyGBS intrapartum decision-makingDRCOG

A 33-year-old pregnant at 37 weeks with unknown GBS status and no risk factors requests rapid delivery. Membranes rupture 2 hours ago, afebrile. Recommended approach?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Intrapartum antibiotic prophylaxis not required

Explanation lettering: E = shown as A · D = shown as B · A = shown as C · B = shown as D · C = shown as E

Without risk factors (fever, prolonged ROM, prior infant with GBS disease, GBS bacteriuria) and with unknown status at term, prophylaxis is not required. B/C/E are unnecessary; D delays without indication.

Reference: ACOG Committee Opinion (2020): Prevention of Group B Streptococcal Early-Onset Disease in Newborns (No. 797)