Postpartum Infections: Puerperal Infection Management

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Questions and Answers

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?

<p>Both b and c (A)</p> Signup and view all the answers

What is the definition of peritonitis?

<p>Both a and b (C)</p> Signup and view all the answers

How does infection spread in peritonitis?

<p>Directly through the fallopian tubes or uterine wall (C)</p> Signup and view all the answers

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

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

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

<p>To rest inflamed intestines (C)</p> Signup and view all the answers

What is one of the first symptoms of peritonitis?

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

How can peritonitis affect future fertility in women?

<p>By blocking fallopian tubes and ovaries (D)</p> Signup and view all the answers

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

<p>Cracked and fissured nipples (C)</p> 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?

<p>Massaging the skin over the clot (A)</p> Signup and view all the answers

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

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

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

<p>Tubal scarring and reduced fertility (D)</p> Signup and view all the answers

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

<p>Low fever (C)</p> 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?

<p>To decrease inflammation (C)</p> Signup and view all the answers

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

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

What is the theoretical state of the uterus during pregnancy?

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

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

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

How can bacteria gain access to the uterus in endometritis?

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

Which symptom is NOT typically associated with endometritis?

<p>Yellow and odorless lochia (D)</p> Signup and view all the answers

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

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

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

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

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

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

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

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

What is a symptom commonly associated with mastitis?

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

What preventive measure is suggested for cracked and fissured nipples?

<p>Applying Vitamin E ointment daily (B)</p> Signup and view all the answers

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

<p>Ensure the baby grasps both the nipple and areola correctly (D)</p> Signup and view all the answers

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