Which action is appropriate when a postpartum patient has signs suggestive of a deep vein thrombosis?

• A. Elevate the leg
• B. Massage the leg
• C. Notify the provider
• D. Avoid leg massage and await assessment

Answer: (D)

When signs point to a deep vein thrombosis after delivery, the priority is to prevent dislodging a clot and get prompt diagnostic evaluation. Massaging the leg can loosen a thrombus and push it toward the lungs, risking a pulmonary embolism, which is why it’s not safe to manipulate the leg. The safest immediate action is to avoid leg massage and cue the provider for urgent assessment and appropriate testing (such as a venous duplex ultrasound) and treatment if needed. In the meantime, keep the leg still and monitor for symptoms, without vigorous activity or heat. Elevation may help with comfort, but it does not replace the need for evaluation.