Author Question: A postpartum woman has a suspected deep vein thrombosis (DVT). Which diagnostic studies does the ... (Read 81 times)

Yi-Chen · **on:** Jun 28, 2018

A postpartum woman has a suspected deep vein thrombosis (DVT). Which diagnostic studies does the nurse prepare the woman to possibly have? (Select all that apply.)

A.
Laboratory draw for D-dimer
B.
Magnetic resonance imaging (MRI)
C.
Venogram
D.
Venous duplex ultrasound
E.
Ventilation-perfusion (V/Q) scan

Question 2

The nursing faculty member explains to a class of nursing students the risk factors for developing postpartum depression (PPD). Which of the following does the faculty include? (Select all that apply.)

A.
Financial stress
B.
Isolation
C.
Low self-esteem
D.
Stay-at-home mother
E.
Unplanned pregnancy

nixon_s · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A, B, D
Diagnostic tests for DVT include D-dimer (a fibrin degradation product), venous duplex ultrasound, and possibly an MRI. The venogram is contraindicated in pregnancy. A V/Q scan might be ordered if a question of pulmonary embolism existed, but in pregnancy, a spiral CT scan would be the better option.

Answer to Question 2

ANS: A, B, C, E
Risk factors for PPD include undesired/unplanned pregnancy, history of depression, recent major life change, isolation due to lack of family/social support or recent move into a new community, financial stress, marital problems, being an adolescent, low self-esteem, and homelessness. Being a stay-at-home mother may or may not cause financial stress, so the nurse would have to assess this condition further.