Test your knowledge of late-onset GBS

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

During pregnancy

Within the first week of life

From 7 days old to 90 days old

One year old

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* 2. True or False: There are currently no prevention protocols in place to help prevent late-onset GBS disease.

True

False

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* 3. True or False: Once born, babies cannot become infected by sources other than the mother.

True

False

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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. 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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* 6. Pick the false statement.

There have been reports of ultra-late-onset, occurring after 3 months of age

GBS can be spread through skin-to-skin contact

Garlic pills are know to help prevent late-onset GBS disease

GBS can be found in breastmilk

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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: Recurrent GBS is when a baby has had a GBS infection, been treated successfully, and is later infected by GBS, again.

True

False

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* 9. Pick the true statement:

It is currently thought that the health benefits of breastfeeding outweigh any potential risk of exposure to GBS

Late-onset GBS disease does not have any known long-lasting effects

Sepsis is linked to early-onset GBS disease, but not late-onset

Premature birth does not have any correlation to late-onset GBS disease

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* 10. True or False: Babies born preterm account for about 42% of late-onset group B strep cases and death caused by late-onset GBS occurs in preterm babies at roughly twice the rate of babies born at term (7.8% vs 3.4%)

True

False