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 (C)</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 (C)</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 (A)</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 (D)</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 (B)</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+ (A)</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 (D)</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. (C)</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. (C)</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. (D)</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. (A)</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. (B)</p> Signup and view all the answers

Flashcards

Endometritis

A postpartum complication where the lining of the uterus becomes infected.

Postpartum Fever

A fever of 102°F or higher that develops within a day after childbirth.

Tender, Enlarged Uterus

Painful, enlarged uterus that may be tender to the touch.

Pelvic Hematoma

Blood clots that form in the pelvic area after childbirth, causing severe and persistent pain.

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Hypovolemic Shock

A decrease in blood volume that can be caused by blood loss in the pelvic area.

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Rhogam: When is it given?

Rh medication given to an Rh-negative mother within 72 hours after giving birth to an Rh-positive baby.

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Rhogam: When is it given during pregnancy?

Rhogam is given during pregnancy to an Rh-negative mother if the baby is Rh-positive.

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Venous Thrombosis: Prevention

Prevent blood clots in the legs after birth.

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What are SCDs?

Special beds that move legs to help prevent blood clots.

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Avoid pressure where?

Putting pressure on the back of the knee can increase the risk of blood clots.

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Taking-In Phase

The new mother focuses on her own needs, resting, eating, and talking about her birth experience. She may have limited interest in learning about infant care.

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Taking-Hold Phase

The mother becomes more active and interested in caring for her baby. She starts asking questions about infant care and seeks guidance on breastfeeding and other aspects of baby care. She also becomes more concerned about her own physical recovery.

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Letting-Go Phase

The mother and her partner adjust to their new life as parents, accepting the reality of their baby and their changed lifestyle. This stage involves adjusting expectations, accepting the newborn as they are, and finding a new rhythm as a family.

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Direct Teaching for Adolescent Mothers

Adolescent mothers may benefit from having parenting skills taught directly to them. They should not rely solely on family members to learn infant care.

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Peer Group Importance for Adolescent Mothers

Adolescent mothers rely heavily on their peer group for social validation. Nurses need to be mindful of integrating the mother into her peer group throughout both pregnancy and postpartum.

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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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