Practice Quiz

CPM Certified Professional Midwife

Category - The Postpartum Period

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A midwife is assessing the clients in the unit who gave birth 24 hours ago through vaginal delivery. Which of the following clients are at risk for puerperal infection?

I.A client who ruptured her membranes 12 hours before birth.
II.A client who had internal fetal monitoring during labor.
III.A client with low levels of hemoglobin and hematocrit.
IV.A client who is negative for vaginal infections.
  1. I, II and III
  2. I and III only
  3. I and IV only
  4. II, III and IV
Explanation
Answer: B - Clients with internal fetal monitoring during labor and clients with low levels of hemoglobin and hematrocrit are at risk for puerperal infection. The other risk factors for puerperal infection are: rupture of membranes 24 hours before birth, retained placental fragments, difficult labor, vaginal infections and postpartum hemorrhage.
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