The patient delivered her 2nd child 1 day ago. The patient's ...

[tfester]

The patient delivered her 2nd child 1 day ago. The patient's temperature is 101.4 F, her pulse is 100, and her blood pressure is 110/70. Her lochia is moderate, serosanguinous, and malodorous. She is started on IV antibiotics.
 
  The nurse provides education for the patient and her partner. Which statement indicates that teaching has been effective? 1. This condition is called parametritis.
  2. Gonorrhea is the most common organism that causes this type of infection.
  3. My Beta-strep culture's being positive might have contributed to this problem.
  4. If I had walked more yesterday, this probably wouldn't have happened.

Question 2

A client is admitted to the labor unit with contractions 1-2 minutes apart lasting 60-90 seconds. The client is apprehensive and irritable. This client is most likely in what phase of labor?
 
  1. Active
  2. Transition
  3. Latent
  4. Second

[itsakadoozi]

Answer to Question 1

3
Rationale 1: Parametritis, or pelvic cellulitis, is an ascending complication of endometritis, and involves more extensive infection of tissue than does this condition.
Rationale 2: Gonorrhea is not a common cause of endometritis, and especially not of early-onset endometritis.
Rationale 3: A postpartum infection of the uterus is endometritis, and when it develops within 36 hours after delivery, it is most commonly caused by group B streptococcus.
Rationale 4: Walking would prevent deep vein thrombophlebitis, not endometritis.

Answer to Question 2

2
Explanation: 2. During transition, contractions have a frequency of 1 1/2 to 2 minutes, a duration of 60 to 90 seconds, and are strong in intensity. When the woman enters the transition phase, she may demonstrate significant anxiety.

[tfester]

Excellent

[xthemafja]

Gracias!