The nurse performing a postpartum assessment on a client elicits the Homan's sign. For what condition is the nurse assessing?
A) Thrombophlebitis
B) Urinary distention
C) Soft, boggy uterus
D) Hematoma
A
Feedback:
Pain behind the knee on flexion of the feet indicates a positive Homans' sign and suggests thrombophlebitis. The nurse would palpate the bladder for a rounded bulge in the suprapubic region, which indicates distention, and palpate the fundus to determine if the uterus is soft or boggy. A hematoma is a complication that may be observed at the site of an episiotomy.
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