Postpartum Infection: Puerperal Infection Overview

<p>It serves as a lubricant for abdominal organ movement (D)</p> Signup and view all the answers

<p>To allow for drainage and prevent infection (C)</p> Signup and view all the answers

<p>Candida albicans (D)</p> Signup and view all the answers

<p>Endometritis (A)</p> Signup and view all the answers

<p>HIV infection (D)</p> Signup and view all the answers

<p>Use of appropriate antibiotics after culture and sensitivity testing (D)</p> Signup and view all the answers

<p>Sudden weight loss (D)</p> Signup and view all the answers

<p>Suture line from an episiotomy or laceration repair (B)</p> Signup and view all the answers

<p>Peritonitis (D)</p> Signup and view all the answers

<p>Cul-de-sac of Douglas (D)</p> Signup and view all the answers

<p>Vomiting (A)</p> Signup and view all the answers

<p>Cracked and fissured nipples (D)</p> Signup and view all the answers

<p>Leaving scarring and adhesions (A)</p> Signup and view all the answers

<p>Insertion of a nasogastric tube (C)</p> Signup and view all the answers

<p>Lactational mastitis (B)</p> Signup and view all the answers

<p>Staphylococcus aureus (D)</p> Signup and view all the answers

<p>Nipple discharge (C)</p> Signup and view all the answers

<p>Applying petroleum jelly to soften nipples daily (B)</p> Signup and view all the answers

<p>Begin breastfeeding on the well nipple (D)</p> Signup and view all the answers

<p>Dilatation of lower extremity veins (C)</p> Signup and view all the answers

<p>Decreased pain when walking (B)</p> Signup and view all the answers

<p>Superficial vein disease (A)</p> Signup and view all the answers

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

<p>Antibiotics (B)</p> Signup and view all the answers

A method for assessing episiotomy wound healing by observing redness, edema, ecchymosis, drainage, and approximation of the wound edges.

Peritonitis is treated by administering antibiotics to combat the infection. Systemic antibiotics are given intravenously, while topical antibiotics can be applied directly to the infected peritoneal cavity.

Pain in the suture line is not typically associated with peritonitis, which is a generalised inflammation of the peritoneum. Peritonitis often causes abdominal pain, fever, nausea, and vomiting.

Peritoneal fluid acts as a lubricant within the peritoneal cavity, reducing friction between the abdominal organs during their movements. This lubrication ensures smooth and efficient organ function.

Removing perineal sutures allows for drainage of any accumulated fluids and prevents infection. It promotes proper healing and reduces the risk of complications.

Candida albicans is a fungus, not a bacterium. Common causes of puerperal infections include bacteria like Streptococcus, Staphylococcus, and E. coli.

Endometritis is specifically defined as an infection of the endometrium, which is the inner lining of the uterus.

HIV infection is not listed as a direct risk factor for endometritis. Common risk factors include prolonged rupture of membranes, caesarean section, and multiple vaginal examinations.

Using appropriate antibiotics after obtaining a culture and sensitivity test is a common management strategy for puerperal infections. This ensures targeted treatment based on the specific bacteria causing the infection.

Sudden weight loss is not typically associated with endometritis. Common symptoms include fever, abdominal pain, vaginal discharge, and uterine tenderness.

The suture line from an episiotomy or laceration repair can serve as a portal of entry for bacteria, leading to perineal infections. Bacteria can penetrate the skin and cause infection.

Peritonitis is a serious complication of puerperal infection and can lead to death if left untreated. It causes widespread inflammation within the abdominal cavity and can lead to organ failure.

The cul-de-sac of Douglas is a pouch at the bottom of the pelvic cavity. Due to gravity, infected material can collect and concentrate in this area, potentially forming an abscess.

Vomiting is often one of the earliest symptoms of peritonitis, often occurring before severe pain. It indicates the abdomen is becoming rigid and inflamed.

Cracked and fissured nipples are the most common cause of mastitis in nursing mothers. These fissures provide entry points for bacteria to enter the breast tissue and cause infection.

Peritonitis can interfere with future fertility by leaving behind scarring and adhesions. These can obstruct fallopian tubes and prevent fertilization or implantation.

A nasogastric tube may be necessary for paralytic ileus accompanying peritonitis. It helps drain stomach contents and reduce pressure, alleviating the symptoms.

Lactational mastitis refers to an infection in the milk ducts caused by bacteria entering the breast through cracked or fissured nipples.

Staphylococcus aureus is the most common bacterium associated with lactational mastitis. It colonizes the skin and can invade the breast tissue through cracks in the nipples.

Nipple discharge is not a common sign or symptom of lactational mastitis. Other signs include fever, pain, redness, swelling, and localized tenderness.

Applying petroleum jelly to soften nipples daily is not a recommended method to prevent cracked and fissured nipples. Correct latch and proper nursing technique contribute to nipple health.

If a breastfeeding woman has one cracked and one well nipple, it's recommended to begin breastfeeding on the well nipple. This helps soothe the injured nipple and allows for proper milk transfer.

Dilatation of lower extremity veins during the postpartal period is a common risk factor for thrombophlebitis. Hormonal changes and increased blood volume contribute to this dilatation

Decreased pain when walking is the least common sign or symptom of deep vein thrombosis. Other signs include swelling in the calf, redness and warmth, and tenderness.

Superficial vein disease is characterized by redness, warmth, swelling, tenderness, and pain along a vein. It affects veins closer to the surface of the skin.

Deep vein thrombosis (DVT) affects deeper veins in the legs and can be more serious. Superficial vein disease affects veins nearer the skin, typically less severe.

Antibiotics are the most effective management strategy for thrombophlebitis during the postpartal period, especially for superficial vein disease. They fight the bacterial infection that often causes this condition.