Postpartum Infections

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Question 1:

A nurse is caring for a client who has postpartum endometritis.

Which of the following clinical manifestations should the nurse expect?

Explanation

The correct answer is choice C. Abdominal pain.

Postpartum endometritis is an infection of the lining of the uterus that usually occurs after delivery.It can cause symptoms such as uterine tenderness, abdominal or pelvic pain, fever, malaise, and sometimes discharge.

Choice A is wrong because bradycardia is not a typical sign of postpartum endometritis.The infection can cause tachycardia, which is a fast heart rate.

Choice B is wrong because hypotension is not a common manifestation of postpartum endometritis.The infection can cause hypertension, which is high blood pressure, especially if it is complicated by sepsis or shock.

Choice D is wrong because clear vaginal discharge is not indicative of postpartum endometritis.The infection can cause foul-smelling or purulent discharge, which is a sign of bacterial involvement.


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Question 2:

A nurse is caring for a client who has postpartum endometritis.

Which of the following interventions should the nurse include in the plan of care?

Explanation

The correct answer is choice A. Administer antibiotics as prescribed.

Postpartum endometritis is an infection of the lining of the uterus that can occur after delivery, especially after cesarean section.Antibiotics are the main treatment for this condition, as they can help eliminate the bacteria that cause the infection.

Choice B. Encourage ambulation as tolerated is wrong because ambulation may not be appropriate for a client with endometritis, as it may increase the risk of spreading the infection or causing bleeding.Ambulation is more beneficial for clients who have had uncomplicated vaginal deliveries or who are at risk of thromboembolism.

Choice C. Encourage the client to perform kegel exercises is wrong because kegel exercises are not helpful for endometritis, as they do not affect the uterine lining.

Kegel exercises are more useful for clients who have had vaginal deliveries or who have urinary incontinence


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