A woman who has recently given birth complains of pain and tenderness in her leg.On physical examination,the nurse notices warmth and redness over an enlarged,hardened area.Which condition should the nurse suspect,and how will it be confirmed?

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Quizplus · Accepted Answer

Pain and tenderness in the extremities,which show warmth,redness,and hardness,is likely thrombophlebitis.A Doppler ultrasound examination is a common noninvasive way to confirm the diagnosis.A diagnosis of DIC is made according to clinical findings and laboratory markers.With DIC,a physical examination will reveal symptoms that may include unusual bleeding,petechiae around a blood pressure cuff on the woman's arm,and/or excessive bleeding from the site of a slight trauma such as a venipuncture site.Symptoms of vWD,a type of hemophilia,include recurrent bleeding episodes,prolonged bleeding time,and factor VIII deficiency.A risk for PPH exists with vWD but does not exhibit a warm or reddened area in an extremity.ITP is an autoimmune disorder in which the life span of antiplatelet antibodies is decreased.Increased bleeding time is a diagnostic finding,and the risk of postpartum uterine bleeding is increased.

A Woman Who Has Recently Given Birth Complains of Pain