Questions and Correct Detailed Answers
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What assessment findings will you see in a woman with a deep vein thrombosis? -
CORRECT ANSWER-- Unilateral edema of ankle and leg,
- Calf tenderness
- Flu-like symptoms (initial low grade temp that spikes, chills, muscle aches)
- Limb may be red and warm or cool to the touch
How would you care for a woman with a deep vein thrombosis? - CORRECT
ANSWER-- This WILL delay discharge
- Anticoagulant therapy
What type of anticoagulant therapy will you use on a woman with a DVT? -
CORRECT ANSWER-- Heparin therapy (safe with lactation)
- May be on Coumadin for weeks or months following discharge
,How should you assess edema and circulation during the postpartum period? -
CORRECT ANSWER-With both legs side by side
What two things does a patient need in order to perform Homan's sign properly?
- CORRECT ANSWER-1) Sensation
2) The ability to respond
What interventions can be implemented to prevent thrombi in the lower
extremities? - CORRECT ANSWER-In L&D: Move mom's legs, help her change
positions
In M/I: Early ambulation, fluids
What are some contributing factors for postpartum thromboembolitic disorders?
- CORRECT ANSWER-- Increased blood clotting factors (until the 6th week)
- Increased fibrinolytic inhibitors (can't break down clots as easily)
- Postpartal thrombocytosis
What are some predisposing factors to thromboembolitic disorders? - CORRECT
ANSWER-Obesity, increased maternal age, high parity, variscosities, smoking,
,maternal anemia, hypothermia, heart disease, previous history of venous
thrombosis, prolonged inactivity, anesthesia and surgical delivery
When are superficial venous thrombosis more common? - CORRECT ANSWER-
During the postpartum period
What assessment findings will you see in a woman with a superficial venous
thrombosis? - CORRECT ANSWER-Warmth, redness, enlarged and hardened
vessel
How would you care for a woman with a superficial venous thrombosis? -
CORRECT ANSWER-- Analgesia
- Rest with elevation of affected leg
- SCD's
- Local application of heat
- DO NOT massage lower extremities in postpartum period
When are deep vein thrombosis more common? - CORRECT ANSWER-During
pregnancy
, What teaching needs to be done for a woman who is discharged on Coumadin? -
CORRECT ANSWER-Family planning; DO NOT get pregnant while on Coumadin
How many servings of protein a day should a postpartum woman consume? -
CORRECT ANSWER-3 to 4 servings
How many servings of fruits, vegetables and grains a day should a postpartum
woman consume? - CORRECT ANSWER-4 servings of each
How many servings of dairy a day should a postpartum woman consume? -
CORRECT ANSWER-4 to 6 servings
How many calories should a non-lactating woman consume a day? - CORRECT
ANSWER-1,800 - 2,000 calories
How many calories should a lactating woman consume a day? - CORRECT
ANSWER-2,700 calories
How long should a woman continue taking prenatal vitamins if she is bottle
feeding? Breastfeeding? - CORRECT ANSWER-- Bottle feeding = 6 weeks