The postpartum client who delivered a newborn 2 days ago develops endometritis. Which entry in the medical record would the nurse expect to find when reviewing the client's history?
1. "Cesarean birth performed secondary to arrest of dilation."
2. "Rupture of membranes occurred 2 hours prior to delivery."
3. "External fetal monitoring used throughout labor."
4. "History of pregnancy-induced hypertension."
1
Explanation:
1. Cesarean birth is the greatest predictor of postpartum endometritis. The frequent cervical examinations necessary to assess for arrest of dilation are 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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