A pregnant patient with premature rupture of membranes is at higher risk for postpartum infection. Which assessment data indicates a potential infection?
A) Fetal heart rate, 150 beats/minute
B) Maternal temperature, 37.2°C (99°F)
C) Cloudy amniotic fluid, with strong odor
D) Lowered maternal pulse and decreased respiratory rates

Question

Quizplus · Accepted Answer

Amniotic fluid should be clear and have a mild odor, if any. Fetal tachycardia of greater than 160 beats/minute is often the first sign of intrauterine infection. A temperature of 38°C (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.

A Pregnant Patient with Premature Rupture of Membranes Is at Higher