A nurse on a postpartum unit is caring for a client. Exhibits For each finding, click to specify if the finding is consistent with uterine atony or infection. Each finding may support more than 1 disease process or none at all. There must be at least 1 selection in every column. There does not need to be a selection in every row.

Rationale: • Polyhydramnios: Excess amniotic fluid stretches the uterus, increasing the risk of uterine atony postpartum because the uterine muscle fibers are overly distended and cannot contract effectively. • High parity: Multiple prior pregnancies weaken uterine muscle tone over time, predisposing the client to uterine atony after delivery, as the uterus may not contract adequately to control bleeding. • Prolonged rupture of membranes: Extended rupture (over 24 hours) increases the risk of ascending infections such as chorioamnionitis or endometritis, as the protective barrier of the amniotic sac is compromised. • Prenatal anemia: Although anemia does not directly cause infection, it reflects a reduced physiological reserve and may predispose the client to infection complications due to decreased oxygen delivery and impaired immune response.