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Postpartum endometritis is:

A.

Associated with precipitous labor and birth.

B.

Effectively treated with a single dose of ampicillin or cephalosporin.

C.

Less frequent following cesarean birth due to sterile technique used during surgery.

D.

Associated with internal monitoring, amnioinfusion, prolonged labor, and prolonged rupture of membranes.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Precipitous labor and birth are not directly associated with postpartum endometritis. The primary risk factors are related to infections during labor.

 

Choice B rationale

Postpartum endometritis is typically treated with a combination of antibiotics for 7-10 days, not a single dose of ampicillin or cephalosporin. A single dose would be insufficient for

treating the infection.

 

Choice C rationale

Postpartum endometritis is more common following cesarean birth due to increased risk of infection despite the use of sterile techniques during surgery.

 

Choice D rationale

Postpartum endometritis is associated with internal monitoring, amnioinfusion, prolonged labor, and prolonged rupture of membranes. These factors increase the risk of infection,

which can lead to endometritis.


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View Related questions

Correct Answer is D

Explanation

Choice A rationale

A respiratory rate of 18 breaths/min is normal and does not indicate magnesium toxicity or the need for calcium gluconate.

Choice B rationale

Urinary output of 30 mL/hr is within the acceptable range and does not suggest magnesium toxicity. This indicates adequate renal function.

Choice C rationale

Patellar reflexes rated at one indicate mild hyporeflexia, which can be a side effect of magnesium sulfate but does not necessitate immediate intervention.

Choice D rationale

Serum magnesium level of 10 mg/dL is significantly elevated, indicating magnesium toxicity. Calcium gluconate is the antidote for magnesium toxicity and should be administered

promptly to prevent severe complications.

Correct Answer is A

Explanation

Choice A rationale

Vaginal hematomas are usually associated with severe pain due to the accumulation of blood in the tissues.

Choice B rationale

Bleeding might be visible, but hematomas often cause internal accumulation, not external bleeding.

Choice C rationale

Warmth is not typically associated with hematomas; instead, pain and swelling are more common.

Choice D rationale

Redness may occur, but pain is the most consistent symptom.

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