Which statement presents the best description of endometritis signs postpartum?

• A. Bloody lochia and no pain
• B. Foul smelling lochia with uterine tenderness
• C. Hypertension and headaches
• D. Frequent urination with no fever

Answer: (B)

Postpartum endometritis is an infection of the uterine lining after delivery. The most telling signs are malodorous lochia and uterine tenderness, which together reflect an infected endometrium with inflammation. That combination—foul-smelling lochia along with tenderness of the uterus—best describes the postpartum endometritis picture.

Hypertension and headaches point toward preeclampsia, not endometritis. Frequent urination without fever suggests a urinary tract issue, not intrauterine infection. Bloody lochia without pain could be normal early postpartum bleeding and doesn’t indicate infection. In practice, foul lochia with a tender uterus warrants prompt evaluation and treatment with antibiotics to address the infection.