Question

The nurse has just received an intershift report. After reviewing the client assignment and the appropriate medical records, the nurse determines that which client is most at risk for developing postdelivery endometritis?

A. Primiparous woman
B. Woman with a history of previous cesarean sections
C. Woman with a history of multiple pregnancies
D. Woman with a history of preterm deliveries

Answer 1

The client at highest risk for postdelivery endometritis is the woman with a history of previous cesarean sections due to the increased likelihood of bacterial introduction during the surgical procedure.

Step-by-step explanation:

The client most at risk for developing postdelivery endometritis is: B. Woman with a history of previous cesarean sections. Endometritis is an infection of the uterine lining that can occur after childbirth. Women with prior cesarean sections are at increased risk because the surgery can introduce bacteria into the uterus, and any procedure that involves direct access to the uterus, including c-sections, can increase the risk of endometrial infection. Furthermore, the manipulation of the uterine environment during cesarean section can disturb the normal bacterial flora and increase the vulnerability to infections. The condition can usually be treated with antibiotics, but it requires prompt diagnosis and management to prevent more serious complications.