Maternity Nursing Q 1

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A postpartum patient was in labor for 30 hours and had ruptured membranes for 24 hours. For which of the following would the nurse be alert?

  

     A. Endometritis

     B. Endometriosis

     C. Salpingitis

     D. Pelvic thrombophlebitis

    

    

Correct Answer: A. Endometritis

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Endometritis is an infection of the uterine lining and can occur after prolonged rupture of membranes. Symptoms include swelling of the abdomen, abnormal vaginal bleeding or discharge, fever, discomfort with bowel movement, and pain in the lower abdomen or pelvic region.

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Option B: Endometriosis does not occur after a strong labor and prolonged rupture of membranes. It is a painful disorder in which tissue similar to the tissue that normally lines the inside of the uterus grows outside of the uterus.

Option C: Salpingitis is a tubal infection and could occur if endometritis is not treated. It is an inflammation of the fallopian tubes caused by bacterial infection.

Option D: Pelvic thrombophlebitis involves a clot formation, but it is not a complication of prolonged rupture of membranes. It is an extremely rare condition that occurs after delivery when an infected blood clot, or thrombus, causes inflammation in the pelvic vein.

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