A 27-year-old pregnant woman at 36 weeks' gestation comes for routine prenatal care. Her pregnancy has been uncomplicated. She has no penicillin

Question

A 27-year-old pregnant woman at 36 weeks' gestation comes for routine prenatal care. Her pregnancy has been uncomplicated. She has no penicillin allergy and no history of infant with invasive group B streptococcal disease. Which of the following is the most appropriate screening recommendation?

Accepted Answer

Vaginal-rectal group B streptococcus culture now

Answer

Urine culture every week until delivery

Answer

Culture at the first prenatal visit and not again

Answer

Treat with intrapartum antibiotics without screening

Answer

No screening because she has no symptoms

Group B streptococcus screening — USMLE Step 3 MCQ

A 27-year-old pregnant woman at 36 weeks' gestation comes for routine prenatal care. Her pregnancy has been uncomplicated. She has no penicillin allergy and no history of infant with invasive group B streptococcal disease. Which of the following is the most appropriate screening recommendation?