Practice Question
Cesarean birth following prolonged rupture of membranes and cephalopelvic disproportion.
Answer Choices:
Rationale:
🔹 Fever, chills, malaise, and decreased appetite are classic systemic signs of infection postpartum.
🔹 Boggy, tender uterus at the level of the umbilicus suggests uterine infection.
🔹 Foul-smelling, dark brown lochia is indicative of bacterial infection of the endometrium.
🔹 Recent cesarean birth and prolonged rupture of membranes increase risk of postpartum infection.
🔹 Bottle-feeding rules out mastitis as primary cause of systemic symptoms.
Plan to administer broad-spectrum antibiotic medication and Monitor the administration of an oxytocic medication
🔹 Treats the underlying bacterial infection in the uterus.
🔹 Prevents progression to sepsis.
🔹 Supports resolution of systemic symptoms.
🔹 Facilitates uterine contraction to reduce bleeding and prevent stasis.
🔹 Supports involution and clearance of infected lochia.
🔹 Enhances uterine tone and reduces risk of hemorrhage.
Temperature and Lochia amount and odor
🔹 Key indicator of infection progression or improvement.
🔹 Monitored to evaluate response to antibiotics.
🔹 Allows early detection of sepsis or worsening infection.
🔹 Provides insight into uterine recovery and infection status.
🔹 Foul odor or increased amount indicates persistence or worsening of infection.
🔹 Monitoring helps guide nursing interventions and physician follow-up.
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This question is from PN Maternal Newborn 2023 which contains 54 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Maternal & Newborn Care
- Answer Choices: 0