The postpartum client who delivered two days ago has developed endometritis. Which charting entry would the nurse expect to find in this client's chart?
1. "Cesarean birth performed secondary to arrest of dilation."
2. "Rupture of membranes occurred two hours prior to delivery."
3. "External fetal monitoring used throughout labor."
4. "Client has history of pregnancy-induced hypertension."
1
Rationale:
1. Cesarean birth is the greatest predictor of postpartum endometritis. The frequent cervical exams necessary to assess for arrest of dilation s another risk factor for postpartum infection.
2. Prolonged rupture of membranes (longer than 12 hours) is a risk factor for postpartum endometritis.
3. Internal fetal monitoring (both internal fetal scalp electrode and intrauterine pressure catheter) are risk factors for postpartum endometritis.
4. Pregnancy-induced hypertension is not a risk factor for development of postpartum endometritis.
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