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Jay Cardio Jay Cardio
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6 years ago
A postpartum woman overhears the nurse tell the obstetrics clinician that she has a positive Homans sign and asks what it means. The nurse's best response is:
 
  a. You have pitting edema in your ankles.
  b. You have deep tendon reflexes rated 2+.
  c. You have calf pain when the nurse flexes your foot.
  d. You have a fleshy' odor to your vaginal drainage.
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6 years ago
ANS: C
Discomfort in the calf with sharp dorsiflexion of the foot may indicate deep vein thrombosis. Edema is within normal limits for the first few days until the excess interstitial fluid is remobilized and excreted. Deep tendon reflexes should be 1+ to 2+. A fleshy odor, not a foul odor, is within normal limits.
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