Author Question: A postpartum woman overhears the nurse tell the obstetrics clinician that she has a positive Homans ... (Read 88 times)

jparksx · **on:** Jun 28, 2018

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.

Question 2

A primiparous woman is to be discharged from the hospital tomorrow with her infant girl. Which behavior indicates a need for further intervention by the nurse before the woman can be discharged?

a. The woman leaves the infant on her bed while she takes a shower.
b. The woman continues to hold and cuddle her infant after she has fed her.
c. The woman reads a magazine while her infant sleeps.
d. The woman changes her infant's diaper and then shows the nurse the contents of the diaper.

ririgirl15 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

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.

Answer to Question 2

ANS: A
Leaving an infant on a bed unattended is never acceptable for various safety reasons. Holding and cuddling the infant after feeding and reading a magazine while the infant sleeps are appropriate parent-infant interactions. Changing the diaper and then showing the nurse the contents of the diaper is appropriate because the mother is seeking approval from the nurse and notifying the nurse of the infant's elimination patterns.