Exam (elaborations)

NRSG 3302 Modules 3, 4, & 5 Questuions and Answers

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Uploaded on September 5, 2024
Number of pages 16
Written in 2024/2025
Type Exam (elaborations)
Contains Questions & answers

puerperal sepsis
endometritis metritis
assessment
nrsg 3302 modules 3 4 5 quiz
risk factors for postpartum infections
complications of postpartum infection may include
risk factors of endometritis

Institution NRSG 3302 Modules 3, 4, & 5
Course NRSG 3302 Modules 3, 4, & 5

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NRSG 3302 Modules 3, 4, & 5 Quiz
risk factors for postpartum infections - Answer- History of caesarean delivery
Premature rupture of membranes
Frequent cervical examination
Internal fetal monitoring
Preexisting pelvic infection (including bacterial vaginosis)
Diabetes
Obestity

complications of postpartum infection may include: - Answer- scarring
infertility
sepsis
septic shock
death

puerperal sepsis - Answer- any infection of genital canal within 28 days after abortion
or birth

endometritis (metritis) - Answer- an infection of the endometrium, myometrium,
and/or parametrial tissue that usually starts at the placental site and spreads to
engulf the entire endometrium

risk factors of endometritis - Answer- C-section birth is PRIMARY risk factor
Prolonged rupture of membranes
Prolonged labor
Internal fetal monitoring
Meconium-stained fluid
Multiple cervical exams during labor
Obesity

assessment of endometritis - Answer- Elevated temperature greater than 100.4 F

Midline lower abdominal pain or discomfort

Uterine tenderness

Tachycardia

Subinvolution

Malaise

Headache

Chills

Lochia is heavy and foul smelling with anaerobic organisms are present

,- foul smelling lochia is a late sign that occurs when the entire endometrium is
involved
- lochia is scant and odorless when beta-hemolytic streptococcus is present

nursing interventions of endometritis - Answer- broad-spectrum IV antibiotics and
rest

white blood cell counts are monitored

assess for lower abdominal pain

encourage increased fluid intake

semi-fowler's position

monitor vital signs at a minimum of every 4 hours

urinary tract infection - Answer- very common during the postpartum period

a lower UTI is easily treated but if left untreated the woman is at risk for
pyelonephritis

patients with a UTI will present with urgent or frequency painful urination with
suprapubic pain, a low grade fever, hematuria may be present

risk factors of a UTI - Answer- epidural during anesthesia which decreases a
women's urge to void, leading to an increased risk for an over distended bladder

over distended bladder or incomplete emptying of bladder

urinary catheter inserted during labor process

neonatal macrosomia, which can cause edema around the urethra

operative vaginal deliveries, forceps, or vacuum extractor

management of UTI - Answer- urinalysis, CBC, and urine culture

antibiotics (usually PO)

mastitis - Answer- an inflammation/infection of the breast tissue that is common
among lactating women. it usually occurs in just one breast, most often in the upper
outer breast quadrant. the most common microorganism reported is staphylococcus
aureus

risk factors of mastitis - Answer- history of mastitis with a previous infant

cracked/sore nipples

, usually only one position for breastfeeding, which may reduce the emptying of the
breast

wearing a tight-fitting bra

poor nutrition

ample milk supply and reduction in the number of feedings

poor infant suck

mastitis assessment - Answer- breast tenderness and warmth

generally feeling ill (malaise)

breast swelling and hardness

pain or burning sensation continuously or while breastfeeding

skin redness

fever of 101 F or greater

treatment/management of mastitis - Answer- antibiotics, regular breastfeeding or
pumping, warm and cold compresses, the best way to get it to go away is with
frequent breastfeeding or pumping

wound infections - Answer- can occur at the laceration site, episiotomy site and c-
section incision site

risk factors of wound infections - Answer- obesity, diabetes, poor suturing technique,
immunodeficiency disorders, prolonged operative time during c-section

assessment of wound infections - Answer- erythema, heat, swelling, tenderness,
purulent drainage, low-grade fever, increased pain at incision or laceration site

infection signs: REEDA (fever, redness, edema, warmth, tenderness, pain, drainage,
wound separation)

wound infection management - Answer- oral antibiotics (non purulent drainage), IV
antibiotics (purulent drainage), good hand washing

comfort measures: sitz baths, peri bottles

postpartum hemorrhage - Answer- leading cause of maternal mortality

blood loss of more than 500 mL after a vaginal birth

1000 mL of blood loss after c-section

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Exam (elaborations)

NRSG 3302 Modules 3, 4, & 5 Questuions and Answers

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