question: Q:A 29-year-old woman is recovering on the obstetrics floor after vaginal delivery of 8 pound twin boys born at 42 weeks gestation. The patient is very fatigued but states that she is doing well. Currently she is complaining that her vagina hurts. The next morning, the patient experiences chills and a light red voluminous discharge from her vagina. She states that she feels pain and cramps in her abdomen. The patient's past medical history is notable for diabetes which was managed during her pregnancy with insulin. Her temperature is 99.5°F (37.5°C), blood pressure is 107/68 mmHg, pulse is 97/min, respirations are 16/min, and oxygen saturation is 98% on room air. Laboratory values are obtained and shown below.
  
  Hemoglobin: 12 g/dL
  Hematocrit: 36%
  Leukocyte count: 9,750/mm^3 with normal differential
  Platelet count: 197,000/mm^3
  
  Serum:
  Na+: 139 mEq/L
  Cl-: 101 mEq/L
  K+: 4.2 mEq/L
  HCO3-: 23 mEq/L
  BUN: 20 mg/dL
  Glucose: 111 mg/dL
  Creatinine: 1.1 mg/dL
  Ca2+: 10.2 mg/dL
  AST: 12 U/L
  ALT: 10 U/L
  
  Which of the following interventions is associated with the best outcome for this patient?? 
  {'A': 'Vancomycin and gentamicin', 'B': 'Vancomycin and clindamycin', 'C': 'Clindamycin and gentamicin', 'D': 'Cefoxitin and doxycycline', 'E': 'Supportive therapy only'},