A laboratory finding indicative of DIC is:
a. decreased fibrinogen.
b. increased platelets.
c. increased hematocrit.
d. decreased thromboplastin time.
ANS: A
DIC develops when the blood-clotting factor thromboplastin is released into the maternal bloodstream as a result of placental bleeding. Thromboplastin activates widespread clotting, which uses the available fibrinogen, resulting in a decreased fibrinogen level. The platelet count will decrease. The hematocrit may decrease if bleeding is pronounced. The thromboplastin time is prolonged.
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