Which combination of signs is most consistent with endometritis?

Which combination of signs is most consistent with endometritis?

• A. Hypertension and edema
• B. Maternal fever, tachycardia, and uterine pain/tenderness
• C. Nausea and vomiting
• D. Cough and dyspnea

Answer: (B)

Endometritis is an infection of the uterine lining that most often occurs after delivery. The hallmark signs include fever (systemic), tachycardia (from infection and stress), and uterine tenderness or pain (local pelvic signs). This combination directly signals an inflammatory process in the uterus with systemic involvement, which is exactly what endometritis presents as. The other symptom clusters don’t point to uterine infection: hypertension with edema suggests preeclampsia; nausea and vomiting are nonspecific and can accompany many conditions; cough with dyspnea points toward respiratory or cardiopulmonary issues rather than a uterine infection.

Endometritis is an infection of the uterine lining that most often occurs after delivery. The hallmark signs include fever (systemic), tachycardia (from infection and stress), and uterine tenderness or pain (local pelvic signs). This combination directly signals an inflammatory process in the uterus with systemic involvement, which is exactly what endometritis presents as.

The other symptom clusters don’t point to uterine infection: hypertension with edema suggests preeclampsia; nausea and vomiting are nonspecific and can accompany many conditions; cough with dyspnea points toward respiratory or cardiopulmonary issues rather than a uterine infection.