Evaluation
Evaluation ( 5 Questions)
A nurse is planning care for a client who has chorioamnionitis and is at risk for postpartum hemorrhage.
Which of the following interventions should the nurse include in the plan? (Select all that apply)
This is correct because chorioamnionitis is a bacterial infection of the membranes and amniotic fluid surrounding the fetus. Antibiotics can help treat the infection and prevent complications for the mother and the baby.
This is wrong because temperature should be monitored more frequently (at least every 2 hours) for signs of infection. Fever is an important symptom of chorioamnionitis and occurs in 95 to 100% of cases.
This is correct because chorioamnionitis can cause dehydration and hypothermia due to fever and sweating. Warm blankets and fluids can help maintain fluid balance and body temperature.
This is correct because chorioamnionitis can cause excessive bleeding and abnormal lochia (vaginal discharge) after delivery. Lochia should be assessed for amount, color, odor and consistency to detect signs of infection or hemorrhage.
The correct answer is choice A, C, D and E. Here is why:
• Choice A: Administer antibiotics as prescribed.
This is correct because chorioamnionitis is a bacterial infection of the membranes and amniotic fluid surrounding the fetus. Antibiotics can help treat the infection and prevent complications for the mother and the baby.
• Choice B: Monitor temperature every 4 hours.
This is wrong because temperature should be monitored more frequently (at least every 2 hours) for signs of infection. Fever is an important symptom of chorioamnionitis and occurs in 95 to 100% of cases.
• Choice C: Provide warm blankets and fluids.
This is correct because chorioamnionitis can cause dehydration and hypothermia due to fever and sweating. Warm blankets and fluids can help maintain fluid balance and body temperature.
• Choice D: Assess lochia for amount and color.
This is correct because chorioamnionitis can cause excessive bleeding and abnormal lochia (vaginal discharge) after delivery. Lochia should be assessed for amount, color, odor and consistency to detect signs of infection or hemorrhage.