Postpartum Infection: Puerperal Infection Management
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Questions and Answers

What is the most common bacteria that causes lactational mastitis?

  • Staphylococcus aureus (correct)
  • Streptococcus pneumoniae
  • Clostridium difficile
  • Escherichia coli

    • What is the main cause of cracked and fissured nipples during breastfeeding?

  • Improper latch and positioning of the baby (correct)
  • Exposing the nipples to too much air
  • Lack of vitamin E in the mother's diet
  • Frequent handwashing between handling perineal pads and touching the breast

    • What is the recommended approach if a woman has one cracked and one well nipple?

  • Recommend the use of Vitamin E ointment on both nipples
  • Advise her to stop breastfeeding until the cracked nipple has healed
  • Encourage her to begin breastfeeding on the cracked nipple first
  • Encourage her to begin breastfeeding on the unaffected nipple (correct)

    • Which of the following is not a sign or symptom of lactational mastitis?

    <p>Increased breast milk production</p> Signup and view all the answers

    What is the most common cause of peritonitis in postpartum women?

    <p>All of the above</p> Signup and view all the answers

    Where is an abscess most likely to form in a postpartum woman with peritonitis?

    <p>In the cul-de-sac of Douglas</p> Signup and view all the answers

    What is the primary symptom that indicates the presence of peritonitis in a postpartum woman?

    <p>Rigid abdomen</p> Signup and view all the answers

    What complication can peritonitis have on a woman's future fertility?

    <p>It can lead to scarring and adhesions in the peritoneum</p> Signup and view all the answers

    What is the primary management strategy for paralytic ileus caused by peritonitis?

    <p>All of the above</p> Signup and view all the answers

    What is the most common cause of mastitis in nursing mothers?

    <p>Bacteria entering through cracked and fissured nipples</p> Signup and view all the answers

    What is the primary focus of management for puerperal infection?

    <p>Use of an appropriate antibiotic after culture and sensitivity testing</p> Signup and view all the answers

    Which of the following is NOT listed as a risk factor for endometritis?

    <p>Gestational diabetes</p> Signup and view all the answers

    Which of the following is a sign or symptom of endometritis?

    <p>Tachycardia (increased heart rate)</p> Signup and view all the answers

    Which of the following is NOT part of the management for endometritis?

    <p>Immediate surgical removal of the uterus</p> Signup and view all the answers

    Which of the following is a common cause of puerperal infection listed in the text?

    <p>Group B streptococci</p> Signup and view all the answers

    What is a risk factor for infection of the perineum mentioned in the text?

    <p>A suture line from an episiotomy or laceration repair</p> Signup and view all the answers

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