How does the nurse assess for Homans' sign?
1. Extending the foot and inquiring about calf pain.
2. Extending the leg and inquiring about foot pain.
3. Flexing the knee and inquiring about thigh pain.
4. Dorsiflexing the foot and inquiring about calf pain.
4
Explanation: 4. To assess for thrombophlebitis, the nurse should have the woman stretch her legs out, with the knees slightly flexed and the legs relaxed. The nurse then grasps the foot and dorsiflexes it sharply. If pain is elicited, the nurse notifies the physician/CNM that the woman has a positive Homans' sign. The pain is caused by inflammation of a vessel.
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