The nurse is caring for a postpartum patient. Which of the following signs suggest endometritis?


• Endometritis is an infection/inflammation of the endometrium (lining of the uterus). It can occur during pregnancy or after childbirth or be When it occurs unrelated to pregnancy, it is called pelvic inflammatory disease).

• Endometritis may be caused by organisms that are normal inhabitants of the vagina and cervix; however, organisms such as gonorrhea and chlamydia may be frequently encountered during pregnancy. If left untreated, these infections may lead to postpartum endometritis and a potential for maternal and/or neonatal morbidity.

• Major signs and symptoms of endometritis are fever, chills, malaise, lethargy, anorexia, abdominal pain, and cramping, uterine tenderness, and purulent, foul-smelling lochia.

• The nurse should expect treatment of the organism according to CDC guidelines if indicated.

• Constipation and hemorrhoids are common postpartum complications but are unrelated to endometritis.

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