Question

On her 3rd postpartum day, a client complains of chills and aches. Her chart shows that she has had a temperature of 100.6° F (38.1° C) for the past 2 days. The nurse assesses foul-smelling, yellow lochia. What do these findings suggest?

a. Normal postpartum recovery
b. Infection
c. Hormonal fluctuations
d. Dehydration

Answer 1

The findings suggest infection, possibly endometritis.

Step-by-step explanation:

The findings of a postpartum client complaining of chills, aches, and having a temperature of 100.6° F (38.1° C) for the past 2 days, along with foul-smelling, yellow lochia, suggest b. Infection. These symptoms may indicate an infection in the uterus, such as endometritis, which is a common postpartum complication. The presence of fever, along with abnormal discharge, is a clear indication of a potential infection.Normal postpartum recovery (Option a) would typically involve a gradual decrease in bleeding (lochia) and a lack of systemic signs of infection. Hormonal fluctuations (Option c) and dehydration (Option d) are less likely explanations for the combination of symptoms described.

Timely assessment and intervention, including appropriate antimicrobial therapy, are crucial to manage postpartum infections effectively and prevent potential complications. The healthcare provider should be notified promptly for further evaluation and management.