Post-partum Infection

Question 1

post-partum infections include

Answer 1

• metritis
• UTIs
• surgical site infections
• mastitis

Question 2

metritis

Answer 2

infectious condition that involves the endometrium, decidua, and adjacent myometrium of the uterus

Question 3

metritis happens as a consequence of

Answer 3

labour, birth and associated manipulation, anaerobic and aerobic bacteria can contaminate the uterus

Question 4

in most cases bacteria responsible for metritis infections are those that normally reside in the

Answer 4

• bowel
• vagina
• perineum
• cervix

Question 5

_________ antibiotics are used to treat metritis

Answer 5

broad spectrum

Question 6

symptoms of metritis usually cease within ____ hrs after start of antibiotics

Answer 6

48 - 72 hrs

Question 7

surgical site infections are usually not identified until after

Answer 7

mom has been d/c from hospital because S/S usually show up 48-72 hrs after birth

Question 8

treatment of surgical site infections includes

Answer 8

• antibiotics
• analgesics for discomfort and pain management
• frequent perineal pad changes
• hydration
• ambulation to improve circulation

Question 9

_______ are the most common cause of a fever in a post-partum mom

Answer 9

fever

Question 10

risks for UTI post-partum include

Answer 10

• catheterization
• epidural anesthesia
• vaginal procedures

Question 11

mastitis

Answer 11

inflammation of mammary gland

Question 12

occurs within the first ___________ postpartum

Answer 12

2 days to 2 weeks

Question 13

risk factors for mastitis include

Answer 13

• stasis of milk due to infrequent, inconsistent breastfeeding
• nipple trauma

Question 14

mastitis results from anything that creates milk stasis which includes

Answer 14

• insufficient draining of the breast
• rapid weaning
• oversupply of milk
• pressure on breast from poorly fitting bra
• blocked duct
• missed feeding
• breakdown of nipple fissures
• cracks or blisters

Question 15

infection can be transmitted from

Answer 15

• lactiferous ducts to a secreting lobule
• from nipple fissures to periductal lymphatics
• or by circulation

Question 16

symptoms of mastitis are

Answer 16

• first symptoms are often flu like symptoms
• breasts are red, tender, and hot to the touch

Question 17

______ quadrant is most common site for mastitis to occur b/c

Answer 17

upper b/c most of the breast tissue is located there with both R and L being equally affected

Question 18

management of mastitis includes

Answer 18

• effective milk removal
• pain medication
• antibiotic therapy