Moderate

A postnatal woman has unilateral calf swelling, warmth and pain when walking. Which nursing action is most appropriate?

Correct answer: C. Keep the leg at rest and notify the provider

  • A. Massage the calf to improve circulation
  • B. Encourage brisk walking several times daily
  • C. Keep the leg at rest and notify the provider
  • D. Apply a tight bandage around the calf

Explanation

Unilateral swelling, warmth and pain may indicate deep vein thrombosis, which can lead to pulmonary embolism. The nurse should avoid massage and unnecessary ambulation, keep the woman at rest and report the finding promptly.

Submitted by a TestUstad contributor and published by the TestUstad editorial teamLast updated
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Maternal postnatal care assesses uterine involution, lochia, perineal healing, bladder and bowel function, vital signs, emotional wellbeing and signs of puerperal infection or haemorrhage. Breastfeeding covers colostrum, milk production, positioning and attachment, feeding frequency, common difficulties and the distinction between normal breast changes and mastitis.

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