A postpartum woman overhears the nurse tell the obstetric 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."
C
Discomfort in the calf with sharp dorsiflexion of the foot may indicate a deep vein thrombo-sis.
Edema is within normal limits for the first few days until the excess interstitial fluid is remo-bilized 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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