Normal leukocytes of pregnancy averages 12,000-15,000. During the first 10 to 12 days postdelivery, values of 25,000 are common. Elevated WBC and the normal elevated ESR may confuse interpretation of acute postpartal infections. For example, if the nurse assess a clients temp to be 101 on the clients second postpartum day, what assessments should be made before notifying the physician? Assess the fundal height and firmness; assess perineal integrity; check for s/sx of thromboembolism assess pulse, respirations, and BP, assess clients subjective description of sx (burning on urination, pain in leg, excessive tenderness of uterus) 5
The Silverman-Anderson index is an assessment scale that scores a newborn's respiratory status as grade 0, 1, or 2 for each component; it includes synchrony of the chest and abdomen, retractions, nasal flaring, and expiratory grunt. No respiratory distress is graded 0, and a total of 10 indicates maximum respiratory distress. This infant is demonstrating respiratory distress with maximal effort, so a grade 2 is assigned for marked nasal flaring, grade 2 for an audible expiratory grunting, plus grade 1 for just visible retractions, which is a total score of 5.