Answer to Question 1
1
1. Correct. The diagnosis of DIC is made according to clinical findings and laboratory markers. Physical examination reveals unusual bleeding. Petechiae may appear around a blood pressure cuff on the woman's arm. Excessive bleeding may occur from the site of a slight trauma such as venipuncture sites.
2. Incorrect. These symptoms are not associated with AFE, nor is AFE a bleeding disorder.
3. Incorrect. Hemorrhage occurs for a variety of reasons in the PP patient. These symptoms are associated with DIC. Hemorrhage would be a finding associated with DIC and is not a clotting disorder in and of itself.
4. Incorrect. HELLP is not a clotting disorder, but may contribute to the clotting disorder DIC.
Answer to Question 2
2
1. Incorrect. All women should be assessed for a history of physical abuse, particularly be-cause the likelihood of abuse increases during pregnancy.
2. Correct. An empty bladder aids in examination, plus it offers an easy opportunity to get a urine sample for a number of tests.
3. Incorrect. Body hair is important to note because it reflects nutritional status, endocrine function, and hygiene.
4. Incorrect. Particular attention is paid to the size of the uterus because it is an indication of the duration of gestation.