Cardiac Disease in Pregnancy Quiz
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Questions and Answers

What is a common sign of right-sided heart failure related to venous pressure?

  • Decreased jugular vein distention
  • Decreased liver size
  • Weight loss
  • Ascites (correct)
  • Which symptom of right-sided heart failure worsens with prolonged standing or sitting?

  • Edema (correct)
  • Anorexia
  • Ascites
  • Hepatomegaly
  • What is a preventive measure recommended for individuals with right-sided heart failure during labor?

  • Initiating oxygen administration and frequent ABG assessments
  • Insertion of a pulmonary artery catheter to monitor pulmonary pressure (correct)
  • Administration of low molecular-weight heparin subcutaneously
  • Undergoing deep vein thrombosis prophylaxis
  • What education is crucial for patients prescribed low molecular-weight heparin subcutaneously?

    <p>Close monitoring after epidural anesthesia</p> Signup and view all the answers

    What is a potential consequence of pressure build-up in the liver in right-sided heart failure?

    <p>Impaired liver function</p> Signup and view all the answers

    Which condition may develop in individuals planning for pregnancy with right-sided heart failure?

    <p>Fluid retention</p> Signup and view all the answers

    What is a common assessment finding in pregnant women with cardiac disease?

    <p>Fatigue</p> Signup and view all the answers

    Which symptom is NOT typically associated with cardiac disease in pregnant women?

    <p>Blurred vision</p> Signup and view all the answers

    What is a treatment option for pregnant women with cardiac disease to reduce the risk of thromboembolism?

    <p>LMWH (Low-molecular-weight Heparin)</p> Signup and view all the answers

    What is a potential complication for infants born to women with severe heart disease?

    <p>Low birth weights</p> Signup and view all the answers

    Why are women advised against becoming pregnant with an artificial valve prosthesis?

    <p>Risk of overwhelming the artificial valve due to increased blood volume during pregnancy</p> Signup and view all the answers

    Which age group is at the highest risk for Venous Thromboembolic Disease?

    <p>Above 50 years old</p> Signup and view all the answers

    What is a common preventive measure for Thrombophlebitis?

    <p>Regular exercise of the lower extremities</p> Signup and view all the answers

    Which symptom is associated with Pulmonary Embolus?

    <p>Sudden onset dyspnea</p> Signup and view all the answers

    What causes blood coagulation related to the development of Venous Thromboembolic Disease?

    <p>Estrogen levels</p> Signup and view all the answers

    Which condition is NOT included in a pregnant patient with left-sided heart failure?

    <p>Pulmonary Hypertension</p> Signup and view all the answers

    When does true anemia typically occur during pregnancy?

    <p>Third trimester</p> Signup and view all the answers

    What is the Drug of choice for a pregnant woman when the oxygen and nutritional requirements of her cells or those of the fetus cannot be met?

    <p>Low-Molecular Weight Heparin (LMWH)</p> Signup and view all the answers

    Which heart condition is NOT classified under Class I for 30-32 weeks of pregnancy?

    <p>Excessive fatigue during ordinary physical activity</p> Signup and view all the answers

    Which heart condition is considered Severely Compromised during pregnancy?

    <p>Normal heart function</p> Signup and view all the answers

    What is the chief danger of thrombophlebitis?

    <p>Pulmonary embolism</p> Signup and view all the answers

    What type of heart failure includes mitral stenosis, mitral insufficiency, and aortic coarctation?

    <p>Left-Sided Heart Failure</p> Signup and view all the answers

    Why are women with Class IV heart disease usually advised to avoid pregnancy?

    <p>Due to being unable to carry out any physical activity without discomfort</p> Signup and view all the answers

    What is the purpose of Sodium Warfarin (Coumadin) in pregnancy?

    <p>To prevent placental dislodgment</p> Signup and view all the answers

    Which type of medications are commonly used for congenital heart anomalies during pregnancy?

    <p>Antihypertensives and diuretics</p> Signup and view all the answers

    What category is LMWH (Low Molecular Weight Heparin) considered in terms of pregnancy?

    <p>Category C</p> Signup and view all the answers

    How is subclinical bleeding from continuous anticoagulant therapy likely to affect pregnancy?

    <p>Cause placental dislodgment</p> Signup and view all the answers

    What is the main purpose of IV Heparin administration for thrombus management?

    <p>Prevent pulmonary embolism</p> Signup and view all the answers

    How does chronic hypertensive vascular disease impact pregnancy?

    <p>Compromises fetal well-being due to poor placental perfusion</p> Signup and view all the answers

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