Author Question: Which of the following would indicate the presence of a perineal wound infection? Select all that ... (Read 47 times)

sam.t96 · **on:** Jun 27, 2018

Which of the following would indicate the presence of a perineal wound infection? Select all that apply.

1. Redness
2. Edema
3. Vaginal bleeding
4. Warmth
5. Purulent drainage
Correct

Question 2

Opioids such as hydromorphone, fentanyl, and meperidine can cause excessive CNS de-pression in both the mother and newborn.

Opioid antagonists such as naloxone (Narcan) can promptly reverse the CNS depressant effects, especially respiratory depression. The RN should use caution in administering naloxone to opioid dependent women in labor. Indicate whether the statement is true or false

Jordin Calloway · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

1; 2; 4; 5
Rationale:
1. Redness, warmth, edema, purulent drainage, and later gaping of a wound that was previously well approximated are classic signs of a perineal wound infection.
2. Redness, warmth, edema, purulent drainage, and later gaping of a wound that was previously well approximated are classic signs of a perineal wound infection.
3. Vaginal bleeding is nonspecific to identifying a perineal wound infection.
4. Redness, warmth, edema, purulent drainage, and later gaping of a wound that was previously well approximated are classic signs of a perineal wound infection.
5. Redness, warmth, edema, purulent drainage, and later gaping of a wound that was previously well approximated are classic signs of a perineal wound infection.

Answer to Question 2

T
An opioid antagonist is contraindicated for any opioid-dependent woman because it may precipitate abstinence syndrome (withdrawal symptoms).