A nurse is caring for a client who has postpartum endometritis and is receiving IV antibiotics.
Which of the following findings indicates that the treatment is effective? A) Decreased vaginal bleeding.
Decreased vaginal bleeding.
Increased abdominal pain.
Increased temperature.
Decreased white blood cell count
The Correct Answer is D
The correct answer is D) Decreased white blood cell count. Postpartum endometritis is an infection of the lining of the uterus that causes fever, abdominal pain, uterine tenderness and sometimes discharge. It is usually caused by bacteria from the lower genital or gastrointestinal tract. White blood cell count is a marker of inflammation and infection, so a decreased white blood cell count indicates that the treatment is effective and the infection is resolving.
A) Decreased vaginal bleeding is not a sign of effective treatment for postpartum endometritis.
Vaginal bleeding after delivery is normal and gradually decreases over time. It is not related to the infection of the uterus.
B) Increased abdominal pain is a sign of worsening infection, not effective treatment. Abdominal pain is one of the symptoms of postpartum endometritis and should improve with antibiotic therapy.
C) Increased temperature is also a sign of worsening infection, not effective treatment. Fever is another symptom of postpartum endometritis and should decrease with antibiotic therapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is B. Palpate fundus.
The nurse should first assess the fundus to determine if it is firm and at the expected level of involution.
A boggy or displaced fundus can indicate uterine atony, which is the most common cause of postpartum hemorrhage.
By massaging the fundus, the nurse can stimulate uterine contractions and reduce bleeding.
A. Assess vital signs.
This statement is wrong because assessing vital signs is not the first action the nurse should take.
Vital signs can indicate the severity of blood loss and shock, but they do not address the cause of bleeding.
C. Administer oxytocin as prescribed.
This statement is wrong because administering oxytocin is not the first action the nurse should take.
Oxytocin is a medication that can enhance uterine contractions and reduce bleeding, but it should be given after assessing and massaging the fundus.
D. Check perineal pad.
This statement is wrong because checking perineal pad is not the first action the nurse should take.
Checking perineal pad can help estimate the amount of blood loss, but it does not address the cause of bleeding.
Correct Answer is A
Explanation
The correct answer is choice A.The woman should change her perineal pad every time she uses the bathroom to prevent infection and promote healing of the perineal area.
Some possible explanations for the other choices are:
• Choice B is wrong because the woman should wipe her perineum from front to back after urinating or defecating to avoid introducing bacteria from the anus to the vagina or urethra.
• Choice C is wrong because the woman should apply ice packs on her perineum for the first 24 hours after birth, not for the first week.
Ice packs help reduce swelling and pain in the per
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