Practice Quiz

CNM Certified Nurse Midwife

Category - Postpartum

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A client develops fever of 102.2 ºF on the third day postpartum. Assessment findings include abdominal tenderness and dark brown lochia. Endometritis is suspected. Which of the following interventions is the most appropriate for the client?
  1. Obtain a culture from the perineal pad.
  2. Administer an oxytocic agent.
  3. Position the client in the side-lying position.
  4. Instruct the client to remain in bed until the pain is resolved.
Explanation
Answer: B - The most appropriate action is to administer an oxytocic agent to encourage uterine contractions. The client is recommended to increase her fluid intake to control fever and dehydration. An antibiotic may be administered. The sample must be obtained from the vagina by a sterile swab. The client should be placed in Fowler’s position or encouraged to ambulate to drain infected secretions.
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