Interventions to prevent postpartum thrombus formation include: Promoting early and frequent ambulation by ensuring adequate pain control (eg, administer analgesic 30 min before activity) (Option 1) Instructing the client to perform leg exercises (eg, dorsiflexion, plantar flexion) hourly (Option 3) Maintaining prescribed sequential compression devices during sedentary activities (Option 4) (Option 2) The nurse should have clients ambulate (with assistance) as soon as possible after surgery (ie, usually on the first postoperative day) if they are in stable condition and can support themselves while standing. The nurse should emphasize interventions that promote blood flow and venous return, especially for clients recovering from cesarean birth. In addition, blood hypercoagulability, a physiologic adaptation during pregnancy, also increases the risk of postpartum thrombus formation. Thrombus formation is associated with venous stasis (blood pooling), which may occur during or after surgery due to immobility. Maintain sequential compression devices on the lower extremities Deep venous thrombosis (DVT) describes the formation of a thrombus (blood clot) that impedes blood flow in a deep vein and may progress to life-threatening pulmonary embolism (PE). Instruct the client to perform leg exercises hourly while in bed 4. Administer analgesics as needed 30 minutes prior to ambulation 3.
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