One of the first symptoms of puerperal infection to assess for in the postpartum woman is
a. Fatigue continuing for longer than 1 week
b. Pain with voiding
c. Profuse vaginal bleeding with ambulation
d. Temperature of 38° C (100.4° F) or higher on 2 successive days starting 24 hours
after birth
D
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A Fatigue is a late finding associated with infection.
B Pain with voiding may indicate a UTI, but it is not typically one of the earlier
symptoms of infection.
C Profuse lochia may be associated with endometritis, but it is not the first
symptom associated with infection.
D Postpartum or puerperal infection is any clinical infection of the genital canal
that occurs within 28 days after miscarriage, induced abortion, or childbirth. The
definition used in the United States continues to be the presence of a fever of 38°
C (100.4° F) or higher on 2 successive days of the first 10 postpartum days,
starting 24 hours after birth.
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