Nursing Care for Endometritis and Pelvic Pain
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Questions and Answers

What is a common sign of endometritis that may appear one day postpartum?

  • Temperature of 102° (correct)
  • Absence of uterine tenderness
  • Clear lochia
  • Decreased white blood cell count
  • Which position should the patient be placed in to aid in the drainage of infected lochia?

  • Prone position
  • Sitting position
  • Fowler's position (correct)
  • Supine position
  • What indicates a severe complication in a patient with pelvic pain?

  • Mild discomfort relieved by medication
  • Stable vital signs
  • Low body temperature
  • Large hematomas requiring drainage (correct)
  • What is a possible indication of infection spread in a patient with endometritis?

    <p>Absent bowel sounds</p> Signup and view all the answers

    Which of the following should be monitored in a patient with severe pelvic pain?

    <p>Inability to urinate</p> Signup and view all the answers

    When should Rhogam be administered to an Rh- mother after giving birth?

    <p>Within 72 hours after birth</p> Signup and view all the answers

    What is the recommended action to prevent venous thrombosis in a patient who is bedridden?

    <p>Use antiembolic stockings</p> Signup and view all the answers

    Which of the following actions should NOT be performed to avoid venous thrombosis?

    <p>Pressure at the popliteal angle</p> Signup and view all the answers

    What circumstance requires Rhogam to be given during pregnancy?

    <p>If the mother is Rh- and the infant is Rh+</p> Signup and view all the answers

    Which of the following is NOT recommended as a preventive measure for venous thrombosis?

    <p>Constantly putting pressure on legs</p> Signup and view all the answers

    What is a key characteristic of the Taking-In Phase for a mother postpartum?

    <p>The mother shows little interest in learning.</p> Signup and view all the answers

    What nursing response is most appropriate during the Taking Hold Phase?

    <p>Provide educational resources for infant care.</p> Signup and view all the answers

    What is a significant challenge for adolescent mothers as they adapt to motherhood?

    <p>They require assistance in learning parenting skills.</p> Signup and view all the answers

    In the Letting Go Phase, what must mothers often reconcile?

    <p>Their ideal child with the reality of the newborn.</p> Signup and view all the answers

    Which approach is recommended for teaching adolescent mothers to care for their newborns?

    <p>Directly teach the mother practical caregiving skills.</p> Signup and view all the answers

    Study Notes

    Endometritis

    • Symptoms: Temperature of 102°F, postpartum, tender and enlarged uterus, prolonged severe cramping, foul-smelling lochia, signs of uterine subinvolution.
    • Elevated WBC: Indicates inflammation.
    • Treatment/Nursing Care: Administer antibiotics, Fowler's position to facilitate infected lochia drainage, analgesics, observe for abdominal distention, nausea, or vomiting, increase fluid intake.
    • Nursing care: Monitor for signs of infection.

    Pelvic Pain

    • General discomfort: Relieved by medication.
    • Hematoma: Severe, unrelenting pain not relieved by medication, concealed blood loss, pulse and respiratory rates may rise, and blood pressure may fall. Potential for hypovolemic shock if large hematomas develop.
    • Nursing care: Ice pack, pain medication.
    • Report to MD: If severe pain is unresolved, unable to void, or unable to eat. Keep NPO (nothing to eat or drink) until seen by MD.

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    Description

    This quiz covers the key nursing interventions and symptoms associated with endometritis and pelvic pain. It includes topics such as treatment options, signs of complications, and when to report to the MD. Enhance your understanding of maternal nursing care and management of these conditions.

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