A maternity nurse is caring for a client with abruptio

placenta and is monitoring the for Dessiminated

Intravascular Coagulation which assessment finding
is likely to be associated with DIC?
A. Swelling in the calf in one leg
B. Prolonged clotting times
C. Decrease platelet count
D. Petechiae, oozing from injection sites,& hematuria

Rationale: DIC is a state of defuse clotting in which

clotting factors are consumed leading to widespread
bleeding. Platelets are decrease because they are
consumed by the process; coagulation studies show
not to clot formation (and are thus normal to
prolonged); a fibrin plugs may clog the the
microvasculatura diffusely, rather than in an isolated
area. The presence of petechiae, oozing from
injection;

Which is the most important cases to exacerbate

hemorrhage the final stage in acute DIC?
A. Thrombin
B. Platelet
C. FDH
D. Vascular Permeability
Which of the following diseases are the causes to
DIC?
A. Severe Infection
B. Malignancies
C. Trauma
D. All of these

The cause that a pregnant woman complicated with

obstetric complication is easier to have DIC mainly
resulted from?
A.Hypercoagulation status
B.Impaired liver function
C.Blood status
Rationale:abnormlities ranging from subclinical
activation of blood coagulation
(hypercoagubility),which may contribute to localized
venous thromboembolism, to acute disseminated
intravascular Coagulation, characterized by massive
thrombin formation and widespread microvascular
thrombosis, partly responsible of the multiple organ
dysfunction syndrome(MODS) and subsequent
consumption of platelets and coagulation proteins
causing, in most severe cases bleeding
manifestations.
Which one is not the etiology of DIC?
A.Impaired Monocytes-Macrophages
B.Malignant tumors
C.Severe Infections
D.Multiple Traumas

Rationale: Impaired Monocytes-Macrophage

functions and detective toll-like receptor signaling in
hepatitis E virus infected pregnant women with acute
liver failure.

Which of the following cells presenced in the blood

smear is a cardinal sign of Microangiopathic
hemolytic anemia of DIC?
A.Scystocytes (fragmented RBC)
B.Heteromorphous Lymphocyte
C.Band Cell
D.Immature RBC

Rationale: a variety conditions that result in danaged

endothelium of small vessels causing platelet
aggregation and fibrin deposition which leads to
shearing forces within these small vessels causing an
intravascular fragmentationhemolysis
Which of the following causes is a direct trigger &
coagulation in DIC?
A.Antitrompin III
B.Impaired function of protein c-system
C.Liver failures
D.Release of tissue factor into blood

Which of the following mechanisms is the basic &

critical in DIC?
A.Hypercoagulation
B.Disturbances of coagulation (hypercoagulation
to hypocoagulation)
C.Hemorrhage

Which of the following etiologies is the most

common causes of DIC?
A.Infection
B.Leukemia
C.Obstetric disease
D.Extensive burns