CNM Certified Nurse Midwife

Category - Postpartum

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A nurse midwife is managing the care of a postpartum client who has a history of thrombophlebitis. On assessment, the nurse midwife suspects pulmonary embolus. Which of the following symptoms would not support this diagnosis?

Sharp chest pain
Confusion
Cyanosis
Bradycardia

Explanation

Answer: D - Bradycardia is not a usual finding in clients with pulmonary embolus. Pulmonary embolism is a complication of thrombophlebitis that involves obstruction of pulmonary artery with a blood clot. Signs and symptoms include abrupt sharp chest pain, confusion, tachycardia, cyanosis and tachypnea. Management includes immediate oxygen administration.

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