If the client's white blood cell (WBC) count is 25,000/mm3 on her ...

[haleyc112]

If the client's white blood cell (WBC) count is 25,000/mm3 on her second postpartum day, which action should the nurse take?
 
  a. Document the finding.
  b. Tell the health care provider.
  c. Begin antibiotic therapy immediately.
  d. Have the laboratory draw blood for reanalysis.

Question 2

Which maternal event is abnormal in the early postpartal period?
 
  a. Diuresis and diaphoresis
  b. Flatulence and constipation
  c. Extreme hunger and thirst
  d. Lochial color changes from rubra to alba

[Kjones0604]

Answer to Question 1

ANS: A
An increase in WBC count to 25,000/mm3 during the postpartum period is considered normal and not a sign of infection. The nurse should document the finding. Because this is a normal finding, there is no reason to alert the health care provider. Antibiotics are not needed because the elevated WBCs are caused by the stress of labor and not an infectious process. There is no need for reassessment as it is expected for the WBCs to be elevated.

Answer to Question 2

ANS: D
For the first 3 days after childbirth, lochia is termed rubra. Lochia serosa follows, and then at about 11 days, the discharge becomes clear, colorless, or white. The body rids itself of increased plasma volume. Urine output of 3000 mL/day is common for the first few days after birth and is facilitated by hormonal changes in the mother. Bowel tone remains sluggish for days. Many women anticipate pain during defecation and are unwilling to exert pressure on the perineum. The new mother is hungry because of energy used in labor and thirsty because of fluid restrictions during labor.

[haleyc112]

TYSM

[chereeb]

Excellent