Lani, a 28 year old woman went to see her attending physician who is an obstetrician because of a foul smelling vaginal

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Lani, a 28 year old woman went to see her attending physician
who is an obstetrician because of a foul smelling vaginal discharge
which happened a few days after a normal spontaneous delivery
(NSD). She gave birth to a baby boy ten (10) days earlier.
Episiotomy was done during the delivery. The attending physician
prescribed antibiotics for five (7) days since she suspected a
urine infection. She was able to complete the antibiotic therapy
since vaginal examination revealed tenderness and swelling on the
episiotomy site. She also complained of pain and itchiness on the
site. The attending physician also noted other laboratory
examinations to be done since the patient still had the foul
vaginal discharge even after completing the course of antibiotics.
In spite of the medications given, foul vaginal odor still
persisted. Therefore, Lani sought a second opinion from another
obstetrician. An evaluation was done and she was asked to have
another admission for possible dilatation and curettage (D&C).
The obstetrician then informed the first physician of the findings
that a sponge was left during the delivery. She also suggested that
the case should be further investigated.
1. Based on the scenario, what are the nursing actions that
might have prevented the problem?
2. What standard of nursing practice was not observed? 3. Why is
it important to adhere to patient safety standards?
3. Why is it important to adhere to patient safety
standards?