Podcast
Questions and Answers
Which of the following microorganisms are commonly associated with postpartum infections?
Which of the following microorganisms are commonly associated with postpartum infections?
- Staphylococcus aureus
- Streptococcus pneumoniae
- Klebsiella pneumoniae
- Escherichia coli (correct)
What defines a puerperal infection in the context of obstetrics?
What defines a puerperal infection in the context of obstetrics?
- Any clinical infection of the genital tract occurring within 6 weeks postpartum.
- Any systemic infection present during labor.
- Any infection occurring within 28 days after childbirth.
- Any clinical infection of the genital tract that occurs within 28 days after miscarriage, induced abortion, or birth. (correct)
Which maternal factor is least likely to increase the risk of postpartum infection?
Which maternal factor is least likely to increase the risk of postpartum infection?
- Vitamin D sufficiency (correct)
- Advanced maternal age (over 40)
- Nulliparity
- Preterm labor
A postpartum patient exhibits a fever of 38.2°C (100.8°F). According to the information provided, this finding:
A postpartum patient exhibits a fever of 38.2°C (100.8°F). According to the information provided, this finding:
Which symptom is least likely to be associated with clinical mastitis?
Which symptom is least likely to be associated with clinical mastitis?
What is a key recommendation for managing mastitis?
What is a key recommendation for managing mastitis?
Which of the following best describes endometritis?
Which of the following best describes endometritis?
What is the typical first-line treatment for endometritis?
What is the typical first-line treatment for endometritis?
Postpartum wound infections are most likely to occur following:
Postpartum wound infections are most likely to occur following:
What is the initial step in managing a suspected postpartum wound infection?
What is the initial step in managing a suspected postpartum wound infection?
Why are postpartum women particularly susceptible to UTIs?
Why are postpartum women particularly susceptible to UTIs?
Effective interprofessional care management of postpartum infections primarily involves:
Effective interprofessional care management of postpartum infections primarily involves:
At what time intervals should the APGAR score be assessed, as a standard?
At what time intervals should the APGAR score be assessed, as a standard?
What crucial aspect of newborn health does the APGAR score evaluate?
What crucial aspect of newborn health does the APGAR score evaluate?
Why is thermoregulation a critical concern in newborns?
Why is thermoregulation a critical concern in newborns?
What sensory screening is typically performed on newborns shortly after birth?
What sensory screening is typically performed on newborns shortly after birth?
What does the 'general appearance/posture' component in a newborn assessment primarily evaluate?
What does the 'general appearance/posture' component in a newborn assessment primarily evaluate?
When assessing a newborn, which of the following is the least important system to evaluate?
When assessing a newborn, which of the following is the least important system to evaluate?
During a newborn assessment, what specific aspect of the respiratory system is critically evaluated?
During a newborn assessment, what specific aspect of the respiratory system is critically evaluated?
In a newborn cardiovascular assessment, which finding would warrant immediate intervention?
In a newborn cardiovascular assessment, which finding would warrant immediate intervention?
Which neurological reflex is not typically assessed in a routine newborn examination?
Which neurological reflex is not typically assessed in a routine newborn examination?
What specific assessment is conducted to evaluate the patency and structures of a newborn's eye/nose/mouth?
What specific assessment is conducted to evaluate the patency and structures of a newborn's eye/nose/mouth?
During a newborn skin assessment, which finding requires immediate attention and possible intervention?
During a newborn skin assessment, which finding requires immediate attention and possible intervention?
Following a vaginal delivery complicated by a third-degree perineal laceration and prolonged rupture of membranes, a postpartum patient develops a fever of 101.5°F (38.6°C) on the third postpartum day, accompanied by lower abdominal pain and purulent lochia. Which condition is MOST likely causing these symptoms?
Following a vaginal delivery complicated by a third-degree perineal laceration and prolonged rupture of membranes, a postpartum patient develops a fever of 101.5°F (38.6°C) on the third postpartum day, accompanied by lower abdominal pain and purulent lochia. Which condition is MOST likely causing these symptoms?
A neonate born at 39 weeks gestation presents with acrocyanosis, a heart rate of 130 bpm, strong respiratory effort, good muscle tone, and a grimace when stimulated. What is the correct APGAR score?
A neonate born at 39 weeks gestation presents with acrocyanosis, a heart rate of 130 bpm, strong respiratory effort, good muscle tone, and a grimace when stimulated. What is the correct APGAR score?
A breastfeeding mother develops mastitis and is prescribed antibiotics. Which instruction regarding breastfeeding should the nurse include in the patient’s discharge teaching?
A breastfeeding mother develops mastitis and is prescribed antibiotics. Which instruction regarding breastfeeding should the nurse include in the patient’s discharge teaching?
A newborn's physical assessment reveals the following: heart rate 90 bpm, slow and irregular respirations, some flexion of extremities, weak grimace to nasal catheter insertion, and cyanotic body. What is the correct APGAR score?
A newborn's physical assessment reveals the following: heart rate 90 bpm, slow and irregular respirations, some flexion of extremities, weak grimace to nasal catheter insertion, and cyanotic body. What is the correct APGAR score?
A postpartum woman, 5 days after cesarean section, reports increased pain, redness, and purulent drainage from the incision site. Her temperature is 102.2°F (39°C). The nurse suspects a wound infection. After obtaining wound cultures, which intervention is MOST appropriate?
A postpartum woman, 5 days after cesarean section, reports increased pain, redness, and purulent drainage from the incision site. Her temperature is 102.2°F (39°C). The nurse suspects a wound infection. After obtaining wound cultures, which intervention is MOST appropriate?
During the respiratory assessment of a newborn, the nurse auscultates diminished breath sounds on the right side and notes the point of maximal impulse (PMI) is shifted to the left. Which condition should the nurse suspect?
During the respiratory assessment of a newborn, the nurse auscultates diminished breath sounds on the right side and notes the point of maximal impulse (PMI) is shifted to the left. Which condition should the nurse suspect?
Flashcards
Puerperal Infection
Puerperal Infection
Clinical infection of the genital tract within 28 days after miscarriage, induced abortion, or birth.
Endometritis
Endometritis
Infection of the uterine lining, often the most common postpartum infection.
Mastitis
Mastitis
Breast infection causing redness, soreness, lumps, warmth, and abnormal-looking milk.
Postpartum Wound Infections
Postpartum Wound Infections
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Sepsis
Sepsis
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FAST (Mastitis)
FAST (Mastitis)
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APGAR Score
APGAR Score
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Temperature Regulation (Newborn)
Temperature Regulation (Newborn)
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Study Notes
- Infections can occur in the postpartum period (up to 28 days after birth/abortion)
- Common postpartum infections include endometritis, mastitis, wound infections, and sepsis
- Often caused by Group A or B Streptococcus, or E. coli
Puerperal Infection
- Any clinical infection of the genital tract within 28 days after miscarriage, induced abortion, or birth
Risk Factors
- Age younger than 17 or older than 40
- STIs
- Bacterial vaginosis
- GBS positive status
- Operative vaginal birth
- Preterm or post-term delivery
- Diabetes
- Hypertension
- Postpartum hemorrhage (PPH)
- Foley catheter use
- Nulliparity (first pregnancy)
- Smoking
- Vitamin D deficiency
- Black ethnicity
Diagnosis
- Presence of fever of 38°C (100.4°F) or higher
Mastitis
- Characterized by FAST: Fever, Abnormal appearance of milk, Swelling, Tenderness, Redness of breast, also sometimes a salty flavor of milk
Mastitis Overview
- Infection in the breast leading to redness and soreness, usually with a palpable lump and warm to the touch
- Abnormal-looking milk
- Treatment includes massage, warm compress, pumping and feeding to remove stasis, and medications
Endometritis
- Infection of the uterine lining
- Most common postpartum infection
- Treated with IV broad-spectrum antibiotics
Wound Infections
- Often occur after discharge
- Especially after cesarean birth
- Requires culture and treatment
UTIs
- More common after indwelling catheter use or Foley catheter induction
Interprofessional Care Management
- Includes assessments and interventions for all postpartum infections
Newborn Assessments
- Apgar score assessed at 1 minute and 5 minutes after birth, and as needed
- Temperature regulation is critical
- Hearing screen is required
- General appearance and posture
- Respiratory, cardiovascular, neurological, eye/nose/mouth, and skin assessments performed
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