Five days after a spontaneous vaginal delivery, a woman comes to ...

[a0266361136]

Five days after a spontaneous vaginal delivery, a woman comes to the emergency room because she has a fever and persistent cramping. What does the nurse recognize as the possible cause of these signs and symptoms?
 
  a. Dehydration
  b. Hypovolemic shock
  c. Endometritis
  d. Cystitis

Question 2

One day after discharge, the postpartum patient calls the clinic complaining of a reddened area on her lower leg, temperature elevation of 37  C (99.8  F), rust-colored lochia, and sore breasts. What does the nurse suspect from these symptoms?
 
  a. Phlebitis
  b. Puerperal infection
  c. Late postpartum hemorrhage
  d. Mastitis

[chereeb]

Answer to Question 1

ANS: C
Fever after 24 hours following delivery is suggestive of an infection. Severe cramping and fever are manifestations of endometritis.

Answer to Question 2

ANS: A
The complaints related to the leg are indicative of phlebitis. The other signs are normal in the postpartum patient.