Practice Quiz

CNM Certified Nurse Midwife

Category - Postpartum

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A nurse midwife is assessing a postpartum client for signs of deep venous thrombosis. To elicit Homan’s sign, the nurse midwife:
  1. Instructs the client to extend her legs flat on the bed, grasps the foot being tested and moves it downward.
  2. Instructs the client to extend her legs flat on the bed, grasps the foot being tested and dorsiflexes it forward.
  3. Instructs the client to lie flat on the bed with both legs extended and raises one leg at a time.
  4. Instructs the client to lie flat on the bed and places both legs on two pillows for 15 minutes.
Explanation
Answer: B - The nurse midwife instructs the client to extend her legs flat on bed, grasps the client’s foot and dorsiflexes it forward. If the movement causes any discomfort or pain, the client is positive for deep venous thrombosis. The other options are not the correct techniques to elicit Homan’s sign.
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