A nurse is reviewing the electronic medical record of a postpartum client. The nurse should identify that which of the following factors places the client at risk for an infection?

Midline episiotomy

Meconium-stained ﬂuid

Gestational hypertension

Placenta previa

Answer and Explanation

The Correct Answer is A

A. A midline episiotomy is a surgical incision made in the perineal area during childbirth. It is recognized as a risk factor for postpartum infection due to the possibility of bacterial contamination during and after delivery. Proper care and monitoring are essential to prevent infection in the site of the incision.

B. meconium-stained fluid, is not typically a risk factor for maternal infection; it is more a concern for the infant's health if aspirated.

C. gestational hypertension, affects blood pressure during pregnancy but does not directly increase the risk of postpartum infection.

D. placenta previa, is a condition where the placenta covers the cervix, which can lead to bleeding but not infection. Therefore, among the given options, a midline episiotomy is the factor that most significantly places the postpartum client at risk for an infection.

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Correct Answer is A

Explanation

A common side eﬀect of epidural anaesthesia is a drop in blood pressure. Turning the client onto their side can help improve blood ﬂow to the uterus and baby and may help raise the mother’s blood pressure.

A. Abdominal distention B. Third-degree perineal laceration C. Vaginal candidiasis D. Afterpain

Correct Answer is B

Explanation

Constipation is a common postpartum issue due to decreased bowel motility, dehydration, and fear of pain during defecation. Suppositories are a common treatment option to help relieve constipation in postpartum clients. However, there are certain contraindications to the use of suppositories.

Option A, abdominal distention, is not a contraindication to the use of a suppository, as it can help relieve the distention and promote bowel movement.

Option C, vaginal candidiasis, is also not a contraindication to the use of a suppository. In fact, antifungal suppositories may be prescribed to treat the candidiasis.

Option D, afterpain, is not a contraindication to the use of a suppository, as afterpains are normal

postpartum contractions that occur as the uterus returns to its pre-pregnancy size.

Option B, third-degree perineal laceration, is a contraindication to the use of a suppository. The suppository can cause further trauma to the already injured perineal area and delay the healing process. In this case, alternative treatment options, such as stool softeners or laxatives, should be considered.

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A nurse is reviewing the electronic medical record of a postpartum client. The nurse should identify that which of the following factors places the client at risk for an infection?

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Naxlex Comprehensive Predictor Exams

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