Which finding would be a source of concern at 12 hours postpartum?

• A. Postural hypotension
• B. Temperature of 100.4°F
• C. Bradycardia — pulse rate of 55 BPM
• D. Pain in left calf with dorsiflexion of left foot

Answer: (D)

This item is testing recognition of a potential postpartum venous thromboembolism. The finding that signals a problem is unilateral calf pain that occurs with dorsiflexion of the foot, which points to a possible deep vein thrombosis. After delivery, the body is in a hypercoagulable state, increasing the risk of clots. A DVT can lead to a pulmonary embolism if not identified and treated promptly, so this symptom requires urgent evaluation (often with a venous duplex ultrasound) and management as ordered.

Other postpartum findings described can occur and may be monitored, but they are not as immediately alarming as a suspected DVT. A transient drop in blood pressure upon standing, a mild fever shortly after birth, or a slower heart rate may be within expected postpartum variations depending on the individual scenario.