Which sign would indicate superficial venous thrombosis in a postpartum client?

• A. Paleness of the calf area
• B. Enlarged, hardened veins
• C. Coolness of the calf area
• D. Palpable dorsalis pedis pulses

Answer: (B)

Superficial venous thrombosis shows up as a tender, cord-like, enlarged vein that can be felt along a superficial vein. After delivery, the body is in a hypercoagulable state, increasing the risk of clot formation in superficial veins. The sign described—enlarged, hardened veins—fits SVT because the clot makes the vein feel firm and rope-like when palpated. Paleness or coolness of the calf would suggest arterial issues or a different vascular problem, and having palpable dorsalis pedis pulses is a normal finding and does not indicate a superficial vein clot. If there’s concern, ultrasound can confirm SVT and help distinguish it from a deeper vein thrombosis.