A postparturient patient with endometritis may present with which of the following manifestations?
Fever, tachycardia, abdominal pain, and purulent discharge.
Hypertension, headache, blurry vision, and chest pain.
Hyperglycemia, dehydration, and frequent urination.
Hypothermia, bradycardia, and jaundice.
The Correct Answer is A
Choice A rationale
Fever, tachycardia, abdominal pain, and purulent discharge are classic signs of endometritis, which is a postpartum infection of the uterine lining, indicating an inflammatory response to bacterial invasion.
Choice B rationale
Hypertension, headache, blurry vision, and chest pain are symptoms more indicative of preeclampsia or hypertensive disorders, not endometritis, which primarily affects the reproductive system.
Choice C rationale
Hyperglycemia, dehydration, and frequent urination are indicative of diabetes mellitus, particularly in cases of diabetic ketoacidosis, not associated with postpartum uterine infections.
Choice D rationale
Hypothermia, bradycardia, and jaundice suggest liver dysfunction or severe infections leading to sepsis, but these are not primary manifestations of endometritis which involves local uterine infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Rh (D) immunoglobulin does not destroy Rh antibodies in newborns; it prevents maternal immune response.
Choice B rationale
Rh (D) immunoglobulin does not damage Rh antibodies in Rh-negative mothers; it prevents antibody formation.
Choice C rationale
Rh (D) immunoglobulin does not stop Rh antibody formation in Rh-positive newborns but prevents it in Rh-negative mothers.
Choice D rationale
Rh (D) immunoglobulin prevents the formation of Rh antibodies in Rh-negative mothers, reducing the risk of hemolytic disease in future pregnancies.
Correct Answer is D
Explanation
Choice A rationale
Persistent nausea and vomiting are common during the first trimester, but not to the extent seen in hyperemesis gravidarum, which involves severe and prolonged symptoms leading to dehydration and weight loss.
Choice B rationale
Hyperemesis gravidarum's exact cause is unknown, making it difficult to prevent. Risk factors include multiple pregnancies and a history of the condition, but no definitive prevention measures are established.
Choice C rationale
The chronic nausea, vomiting, and resultant physical debilitation of hyperemesis gravidarum significantly impact the quality of life, leading to anxiety and depression due to the persistent nature of the symptoms.
Choice D rationale
Hospitalization for rehydration and electrolyte balance restoration is often necessary for hyperemesis gravidarum due to severe dehydration from persistent vomiting and inability to retain fluids and nutrients.
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