A pregnant woman with premature rupture of membranes is at higher risk for postpartum infection. Which assessment data indicate a potential infection?
a. Fetal heart rate 150 beats/min
b. Maternal temperature 99° F
c. Cloudy amniotic fluid with strong odor
d. Lowered maternal pulse and decreased respiratory rates
C
Amniotic fluid should be clear and have a mild odor, if any.
Fetal tachycardia of greater than 160 beats/min is often the first sign of intrauterine infection.
A temperature of 100.4° F or higher is a classic symptom of infection.
Vital signs should be assessed hourly to identify tachycardia or tachypnea, which often ac-company temperature elevation.
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