The postpartum client who delivered two days ago has developed ...

[Pea0909berry]

The postpartum client who delivered two days ago has developed endometritis. Which charting entry would the nurse expect to find in this client's chart?
 
  1. Cesarean birth performed secondary to arrest of dilation.
  2. Rupture of membranes occurred two hours prior to delivery.
  3. External fetal monitoring used throughout labor.
  4. Client has history of pregnancy-induced hypertension.

Question 2

A woman is experiencing preterm labor. The client asks why she is on betamethasone (Celestone). The best response by the nurse would be, This medication:
 
  1. Will halt the labor process until the baby is more mature.
  2. Will relax the smooth muscles in the infant's lungs so the baby can breathe.
  3. Is effective in stimulating lung development in the preterm infant.
  4. Is an antibiotic that will treat your urinary tract infection, which caused preterm labor.

[wuly]

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 s another risk factor for postpartum infection.
2. Prolonged rupture of membranes (longer than 12 hours) is a risk factor for postpartum endometritis.
3. Internal fetal monitoring (both internal fetal scalp electrode and intrauterine pressure catheter) are risk factors for postpartum endometritis.
4. Pregnancy-induced hypertension is not a risk factor for development of postpartum endometritis.

Answer to Question 2

3
Rationale:
1. It has no effect on the labor process.
2. It has no effect on the smooth muscles in the lungs.
3. Betamethasone (Celestone) has been found to induce pulmonary maturation, and thereby decrease the risk of respiratory problems in the preterm infant.
4. This medication is not an antibiotic, and therefore will not help resolve a urinary tract infection.

[Pea0909berry]

Thanks for the timely response, appreciate it

[FergA]

Excellent