The nurse should expect medical intervention for subinvolution to ...

[ec501234]

The nurse should expect medical intervention for subinvolution to include:
 
  a. oral fluids to 3000 mL/day.
  b. intravenous fluid and blood replacement.
  c. oxytocin intravenous infusion for 8 hours.
  d. oral methylergonovine maleate (Methergine) for 48 hours.

Question 2

A white blood cell (WBC) count of 35,000 cells/mm3 on the morning of the first postpartum day indicates:
 
  a. possible infection.
  b. normal WBC limit.
  c. serious infection.
  d. suspicion of a sexually transmitted disease.

[smrtceo]

Answer to Question 1

ANS: D
Methergine provides long-sustained contraction of the uterus. There is no correlation between dehydration and subinvolution. There is no indication that excessive blood loss has occurred. Oxytocin provides intermittent contractions.

Answer to Question 2

ANS: A
A WBC count in the upper ranges of normal (20,000 to 30,000 cells/mm3) may indicate an infection. An elevated WBC count is anticipated but becomes a concern as it hits the upper range. An elevated WBC count may be an indication of different types of infection.