Review Question - QID 214708

A 29-year-old G2P1001 woman presents to labor and delivery at 37 weeks 5 days of gestation with 1 painful contraction every 20 minutes for the past 3 hours. Her pregnancy has been uncomplicated, with the exception of a positive vaginal group B streptococcus (GBS) screening culture found after her routine visit at 35 weeks of gestation. Her temperature is 98.6°F (37.0°C), blood pressure is 118/78 mmHg, pulse is 96/min, and respirations are 16/min. A transabdominal ultrasound is performed, followed by a pelvic exam. Her cervix is 90% effaced and 5 cm dilated. The fetus has a vertex lie. She is admitted in active labor. After being informed of the risk posed to her fetus, the patient decides to proceed with vaginal delivery and declines intrapartum antibiotics. She also requests that her child not be administered antibiotics after birth, as she believes "sickness will make the baby stronger," and antibiotics will harm her baby. The fetus's father lives internationally and does not plan to be involved in the infant's care. After extensive counseling, she affirms her choices. What are the most appropriate next steps in management?