28 Questions
What is the primary symptom that indicates an episiotomy wound is infected?
Purulent drainage from the suture line
What is the primary goal of management for an infected episiotomy wound?
Removing the perineal sutures to allow for drainage
What is the REEDA acronym used for?
To assess episiotomy wound healing after vaginal delivery
What is the purpose of the peritoneal cavity?
Both b and c
What is the definition of peritonitis?
Both a and b
How does infection spread in peritonitis?
Directly through the fallopian tubes or uterine wall
What is one of the gravest complications of childbearing and a major cause of death from puerperal infection?
Peritonitis
Why might a nasogastric tube be inserted in a patient with peritonitis?
To rest inflamed intestines
What is one of the first symptoms of peritonitis?
Vomiting
How can peritonitis affect future fertility in women?
By blocking fallopian tubes and ovaries
What is the most common cause of mastitis in nursing mothers?
Cracked and fissured nipples
Which of the following is NOT a recommended management strategy for deep vein thrombosis (DVT) in the postpartum period?
Massaging the skin over the clot
What is the antidote for warfarin therapy in the postpartum period?
Vitamin K
What is a potential complication of pelvic thrombophlebitis in the postpartum period?
Tubal scarring and reduced fertility
Which of the following is a common sign or symptom of pelvic thrombophlebitis in the postpartum period?
Low fever
What is the purpose of using a moist, warm compress for the management of deep vein thrombosis (DVT) in the postpartum period?
To decrease inflammation
What should be done if a woman is on warfarin therapy during the postpartum period?
Discontinue breastfeeding
What is the theoretical state of the uterus during pregnancy?
Sterile
Which of the following is NOT a common cause of puerperal infection?
Yersinia pestis
How can bacteria gain access to the uterus in endometritis?
Through the vagina
Which symptom is NOT typically associated with endometritis?
Yellow and odorless lochia
After a cesarean delivery, which infection is endometritis commonly associated with?
Chorioamnionitis
What acts as a portal of entry for bacterial invasion in perineal infections?
Episiotomy scar
What is the most common type of mastitis described in the text?
Lactational mastitis
Which bacterium is mentioned as the most common cause of breast infection during breastfeeding?
Staphylococcus aureus
What is a symptom commonly associated with mastitis?
Fever
What preventive measure is suggested for cracked and fissured nipples?
Applying Vitamin E ointment daily
How should a woman position her baby to help prevent cracked and fissured nipples?
Ensure the baby grasps both the nipple and areola correctly
Learn about puerperal infections, which are infections of the reproductive tract that can lead to maternal mortality. Understand the importance of managing these infections promptly to prevent complications like peritonitis and septicemia.
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