27 Questions
What is the purpose of REEDA in assessing episiotomy wound healing?
To assess for signs of inflammation and infection
What is the recommended management approach for peritonitis?
Administering systemic or topical antibiotics
Which of the following symptoms is NOT typically associated with peritonitis?
Pain in the suture line
How does the peritoneal fluid act in the peritoneal cavity?
It serves as a lubricant for abdominal organ movement
Why is it important to remove perineal sutures in the management of episiotomy wound healing?
To allow for drainage and prevent infection
Which bacterium is NOT listed as a common cause of puerperal infections?
Candida albicans
Which infection is specifically defined as an infection of the endometrium?
Endometritis
Which factor is NOT listed as a risk factor for developing endometritis?
HIV infection
What is one of the management strategies for puerperal infections mentioned in the text?
Use of appropriate antibiotics after culture and sensitivity testing
Which symptom is NOT typically associated with endometritis according to the text?
Sudden weight loss
What is a potential portal of bacterial invasion in the context of perineal infections?
Suture line from an episiotomy or laceration repair
What is one of the major causes of death from puerperal infection?
Peritonitis
Which part of the abdomen may develop an abscess due to gravity causing infected material to localize there?
Cul-de-sac of Douglas
What symptom of peritonitis is often one of the first to occur and indicates a rigid abdomen?
Vomiting
What is the most common cause of mastitis in nursing mothers?
Cracked and fissured nipples
How can peritonitis interfere with future fertility?
Leaving scarring and adhesions
What intervention may be necessary for paralytic ileus accompanying peritonitis?
Insertion of a nasogastric tube
What type of mastitis is characterized by an infection in the milk ducts due to bacteria breaking through the skin?
Lactational mastitis
Which bacteria is most commonly associated with lactational mastitis?
Staphylococcus aureus
Which of the following is NOT a sign or symptom of lactational mastitis?
Nipple discharge
Which of the following measures is NOT recommended to prevent cracked and fissured nipples during breastfeeding?
Applying petroleum jelly to soften nipples daily
If a breastfeeding woman has one cracked and one well nipple, what is the recommended approach?
Begin breastfeeding on the well nipple
What is the most common risk factor for the development of thrombophlebitis during the postpartal period?
Dilatation of lower extremity veins
Which of the following is the LEAST common sign or symptom of deep vein thrombosis?
Decreased pain when walking
A patient presents with redness, warmth, swelling, tenderness, and pain along a vein. Which type of thrombophlebitis is this most likely to be?
Superficial vein disease
What is the primary difference between superficial vein disease and deep vein thrombosis?
All of the above
Which of the following is the MOST effective management strategy for thrombophlebitis during the postpartal period?
Antibiotics
Learn about puerperal infections, which are reproductive tract infections that can lead to maternal mortality. Explore the theoretical sterility of the uterus during pregnancy and the potential seriousness of puerperal infections spreading to peritonitis or septicemia.
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