North American Registry of Midwives (NARM) Practice Exam

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What are the symptoms of a GBS infected baby at early onset?

Weight gain, vomiting, and diarrhea
Cyanosis, apnea, and hypotension
Jaundice, fever, and rash
Seizures, lethargy, and irritability

The correct answer is: Cyanosis, apnea, and hypotension

In cases of early-onset Group B Streptococcus (GBS) infection in newborns, the symptoms are primarily related to respiratory and cardiovascular distress, which is reflected in the choice of cyanosis, apnea, and hypotension. Cyanosis indicates a lack of adequate oxygen in the blood, which can occur when a newborn is struggling to breathe due to infection-related complications. Apnea refers to periods where the baby may stop breathing, which can be a critical symptom in an infected newborn, indicating significant respiratory distress. Hypotension, or low blood pressure, can occur due to the body’s inability to adequately respond to infection or sepsis, signaling a severe condition that requires immediate medical attention. Understanding these symptoms is crucial for prompt identification and treatment of early-onset GBS infection, as the rapid onset of these symptoms can lead to serious health issues in the newborn if not addressed quickly.