NCC NNP-BC Practice Questions - NCC Neonatal Nurse Practitioner Board Certified (NNP-BC) Exam

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A term infant is born to a mother with a positive GBS culture who received only one dose of penicillin 2 hours before delivery. The infant is asymptomatic at 4 hours of life. According to current AAP/CDC guidance and the Kaiser Permanente Neonatal Sepsis Calculator framework, which approach is MOST appropriate?

Start empiric ampicillin and gentamicin immediately based on inadequate intrapartum prophylaxis alone Use risk-based assessment (sepsis calculator inputs and serial physical exams) and treat only if clinical signs develop or risk score warrants Discharge home at 24 hours without further observation Obtain a lumbar puncture before any further evaluation

Correct Answer:

Use risk-based assessment (sepsis calculator inputs and serial physical exams) and treat only if clinical signs develop or risk score warrants

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