During a postpartum assessment, the nurse suspects a vaginal or ...

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During a postpartum assessment, the nurse suspects a vaginal or cervical laceration. This conclusion is based on which assessment(s)? (Select all that apply.)
 
  a. Bright red vaginal bleeding
  b. Firmly contracted uterus
  c. Perineal pain
  d. Dark red vaginal bleeding
  e. Pulse rate of 100 beats/minute

Question 2

Infection spread through the uterine wall to the broad ligaments or entire pelvis is known as:
 
  a. Endometritis
  b. Parametritis
  c. Peritonitis
  d. Metritis

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Answer to Question 1

ANS: A, B, E
Bright red vaginal bleeding in the presence of a firmly contracted uterus is suggestive of a laceration. A pulse rate of 100 beats/minute may be an early sign of shock. Perineal pain may be associated with a hematoma or episiotomy. Dark red vaginal bleeding is characteristic of lochia.

Answer to Question 2

ANS: B
Parametritis is an infection that has spread through the uterine wall to the broad ligaments or entire pelvis.