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A nurse is assessing a client for postpartum infection.
Which of the following findings should indicate to the nurse that the client requires further evaluation for endometritis?

A.

Pelvic pain and fatigue.

B.

Light amount of dark red lochia with a bloody odor.

C.

Hematuria.

D.

A localized area of breast tenderness.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Pelvic pain and fatigue can be indicators of endometritis, an infection of the uterine lining. It often manifests with pain, fever, and general malaise, and requires further evaluation and intervention.

 

Choice B rationale

Light amount of dark red lochia with a bloody odor is a normal postpartum finding. Lochia progresses through different stages, and dark red lochia, which occurs in the later stages, typically has a bloody odor.

 

Choice C rationale

Hematuria, or the presence of blood in the urine, is not a typical symptom of endometritis. It may indicate a urinary tract infection or other renal issues instead.

 

Choice D rationale

A localized area of breast tenderness may indicate mastitis, an infection of the breast tissue. It is not related to endometritis but requires attention and treatment.


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View Related questions

Correct Answer is C

Explanation

Choice A rationale

Dexamethasone is a corticosteroid and is not used for treating ectopic pregnancy.

Choice B rationale

Clomid (clomiphene citrate) is used to stimulate ovulation, not to treat ectopic pregnancy.

Choice C rationale

Methotrexate is a chemotherapeutic agent that effectively stops the growth of ectopic pregnancy cells, allowing the pregnancy tissue to be reabsorbed by the body.

Choice D rationale

Progesterone supports pregnancy and is not used to treat ectopic pregnancy.

Correct Answer is C

Explanation

Choice A rationale

The placenta does not provide thermoregulation; that function is managed by maternal thermoregulation and the amniotic fluid which insulates the fetus.

Choice B rationale

Amniotic fluid cushions the fetus from maternal movements, not the placenta. The placenta's role is more focused on nutrient and waste exchange.

Choice C rationale

The placenta facilitates metabolic functions and gas exchange, supplying oxygen and nutrients to the fetus while removing carbon dioxide and waste products, ensuring fetal development.

Choice D rationale

The placenta doesn't provide a sterile environment. This is accomplished by the amniotic sac and amniotic fluid. The placenta connects the fetus to maternal blood supply, ensuring necessary exchanges for fetal growth.

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