A laboratory finding indicative of disseminated intravascular coagulation (DIC) is:
a. Decreased fibrinogen.
b. Increased platelets.
c. Increased hematocrit.
d. Decreased thromboplastin time.
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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