Which finding most strongly suggests puerperal endometritis in a postnatal woman?
Correct answer: B. Foul-smelling lochia with uterine tenderness
- A. Mild afterpains during breastfeeding
- B. Foul-smelling lochia with uterine tenderness
- C. Small amount of pink lochia on day four
- D. Mild perineal discomfort when sitting
Explanation
Foul-smelling lochia with uterine tenderness suggests infection of the uterine lining, especially when accompanied by fever. Afterpains, changing lochia and mild perineal discomfort can be normal postnatal findings.
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About Postnatal Care and Breastfeeding
Maternal postnatal care assesses uterine involution, lochia, perineal healing, bladder and bowel function, vital signs, emotional wellbeing and signs of puerperal infection or haemorrhage. Breastfeeding covers colostrum, milk production, positioning and attachment, feeding frequency, common difficulties and the distinction between normal breast changes and mastitis.
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