Author Question: The postpartum patient who delivered 2 days ago has developed endometritis. Which entry would the ... (Read 72 times)

waynest · **on:** Jun 27, 2018

The postpartum patient who delivered 2 days ago has developed endometritis. Which entry would the nurse expect to find in this patient's chart?

1. Cesarean birth performed secondary to arrest of dilation.
2. Rupture of membranes occurred 2 hours prior to delivery.
3. External fetal monitoring used throughout labor.
4. The patient has history of pregnancy-induced hypertension.

Question 2

A nurse needs to evaluate the progress of a woman's labor. The nurse obtains the following data: cervical dilatation 6 cm; contractions mild in intensity, occurring every 5 minutes, with a duration of 30-40 seconds.

Which clue in this data does not fit the pattern suggested by the rest of the clues? 1. Cervical dilatation 6 cm
2. Mild contraction intensity
3. Contraction frequency every 5 minutes
4. Contraction duration 30-40 seconds

dominiqueenicolee · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

1
Rationale 1: Cesarean birth is the greatest predictor of postpartum endometritis. The frequent cervical exams necessary to assess for arrest of dilation are another risk factor for postpartum infection.
Rationale 2: Prolonged rupture of membranes (longer than 12 hours) is a risk factor for postpartum endometritis.
Rationale 3: Internal fetal monitoring (both internal fetal scalp electrode and intrauterine pressure catheter) are risk factors for postpartum endometritis.
Rationale 4: Pregnancy-induced hypertension is not a risk factor for postpartum endometritis.

Answer to Question 2

1
Explanation: 1. Cervical dilatation of 6 cm indicates the active phase of labor. During this phase the cervix dilates from about 4 to 7 cm and contractions and pain intensify.