A pregnant client 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
ANS: 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 accompany temperature elevation.
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Indicate whether the statement is true or false
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