Postpartum Infections: Puerperal Infection Management

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What is the primary symptom that indicates an episiotomy wound is infected?

Pain and heat in the suture line

Fever

Purulent drainage from the suture line (correct)

Inflammation in the suture line

What is the primary goal of management for an infected episiotomy wound?

Encouraging the woman to rest in bed

Administering systemic antibiotics

Removing the perineal sutures to allow for drainage (correct)

Applying a warm compress to the area

What is the REEDA acronym used for?

To determine the cause of endometritis

To assess episiotomy wound healing after vaginal delivery (correct)

To manage an infected episiotomy wound

To describe the symptoms of peritonitis

What is the purpose of the peritoneal cavity?

Both b and c Signup and view all the answers

What is the definition of peritonitis?

Both a and b Signup and view all the answers

How does infection spread in peritonitis?

Directly through the fallopian tubes or uterine wall Signup and view all the answers

What is one of the gravest complications of childbearing and a major cause of death from puerperal infection?

Peritonitis Signup and view all the answers

Why might a nasogastric tube be inserted in a patient with peritonitis?

To rest inflamed intestines Signup and view all the answers

What is one of the first symptoms of peritonitis?

Vomiting Signup and view all the answers

How can peritonitis affect future fertility in women?

By blocking fallopian tubes and ovaries Signup and view all the answers

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

Cracked and fissured nipples Signup and view all the answers

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 Signup and view all the answers

What is the antidote for warfarin therapy in the postpartum period?

Vitamin K Signup and view all the answers

What is a potential complication of pelvic thrombophlebitis in the postpartum period?

Tubal scarring and reduced fertility Signup and view all the answers

Which of the following is a common sign or symptom of pelvic thrombophlebitis in the postpartum period?

Low fever Signup and view all the answers

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 Signup and view all the answers

What should be done if a woman is on warfarin therapy during the postpartum period?

Discontinue breastfeeding Signup and view all the answers

What is the theoretical state of the uterus during pregnancy?

Sterile Signup and view all the answers

Which of the following is NOT a common cause of puerperal infection?

Yersinia pestis Signup and view all the answers

How can bacteria gain access to the uterus in endometritis?

Through the vagina Signup and view all the answers

Which symptom is NOT typically associated with endometritis?

Yellow and odorless lochia Signup and view all the answers

After a cesarean delivery, which infection is endometritis commonly associated with?

Chorioamnionitis Signup and view all the answers

What acts as a portal of entry for bacterial invasion in perineal infections?

Episiotomy scar Signup and view all the answers

What is the most common type of mastitis described in the text?

Lactational mastitis Signup and view all the answers

Which bacterium is mentioned as the most common cause of breast infection during breastfeeding?

Staphylococcus aureus Signup and view all the answers

What is a symptom commonly associated with mastitis?

Fever Signup and view all the answers

What preventive measure is suggested for cracked and fissured nipples?

Applying Vitamin E ointment daily Signup and view all the answers

How should a woman position her baby to help prevent cracked and fissured nipples?

Ensure the baby grasps both the nipple and areola correctly Signup and view all the answers