A nurse is assessing a client who is 6 hours postpartum and has endometritis. Which of the following findings should the nurse expect?
Temperature 37.4°C (99.3°F)
Scant lochia
Uterine tenderness
WBC count 9,000/mm³
The Correct Answer is C
Endometritis is an infection of the endometrium, the lining of the uterus, typically occurring after childbirth. When assessing a client with endometritis, the nurse should expect to find uterine tenderness as a common clinical finding. This finding is consistent with endometritis, which is characterized by inflammation and infection of the endometrium. Additional signs and symptoms may include an elevated temperature, increased lochia, foul-smelling lochia, and an elevated WBC count. Prompt identification and treatment of endometritis are important to prevent further complications.
Option a) A temperature of 37.4°C (99.3°F) is within the normal range and does not necessarily indicate endometritis. However, an elevated temperature above 38°C (100.4°F) or a persistent fever may be indicative of an infection and should be further evaluated.
Option b) Scant lochia (minimal vaginal bleeding) is not a characteristic finding of endometritis. In endometritis, lochia is often increased in amount and may have an unpleasant odor.
Option d) A white blood cell (WBC) count of 9,000/mm³ is within the normal range. However, in cases of endometritis, there is usually an elevation in the WBC count as a response to the infection. An elevated or increasing WBC count may be observed.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A postpartum client who has type 1 diabetes mellitus and is breastfeeding her newborn should maintain
scheduled mealtimes for herself to prevent hypoglycemia and ensure adequate milk production¹. Breastfeeding may lower glucose levels in the parent and the risk of type 1 and type 2 diabetes in the child¹. Breastfeeding may also help the parent lose weight, prevent diabetes-related complications, and reduce the chances of some cancers¹.
The other options are incorrect because:
a) Taking more insulin with each meal than you did prior to pregnancy may cause hypoglycemia, especially if you are breastfeeding. You should adjust your insulin doses according to your blood glucose levels and carbohydrate intake, and consult your doctor or diabetes educator for guidance²³.
b) Checking your blood glucose levels every 8 hours is not frequent enough to monitor your diabetes during breastfeeding. You should check your blood glucose levels before and after each breastfeeding session, as well as before meals and snacks, at bedtime, and during the night if needed²³.
c) Limiting your carbohydrate intake to 30 grams per day is too restrictive and may impair your milk production and quality, as well as cause hypoglycemia or ketoacidosis. You should consume adequate carbohydrates from healthy sources, such as whole grains, fruits, vegetables, legumes, and dairy products, to meet your energy and nutritional needs²³.
Correct Answer is D
Explanation
An indirect Coombs' test, also known as an indirect antiglobulin test, is used to detect antibodies in your bloodstream that could attach to red blood cells¹². It is used as a screening process to see how you'll react to a blood transfusion². An indirect Coombs' test is also routinely given as part of prenatal testing to see if you have antibodies against Rh-positive blood¹. If you have an Rh-negative blood type and your baby has an Rh-positive blood type, then your immune system could make antibodies that attack your baby's red blood cells¹. This can cause a condition called Rh disease, which can lead to anemia, jaundice or other serious health problems for your baby¹. The indirect Coombs' test can help prevent or treat this problem by detecting the presence of Rh-positive antibodies in your blood¹².
The other options are incorrect because they describe different tests or purposes:
a) The amount of amniotic fluid around the fetus is measured by an ultrasound scan, not by a blood test.
b) The risk of hypoglycemia (low blood sugar) after birth is assessed by measuring the baby's blood glucose level, not by a maternal blood test.
c) The blood flow in the fetus and placenta is studied by a Doppler ultrasound scan, not by a blood test.
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