Cardiac Medications and Contraceptives Precautions

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Questions and Answers

What are some specific signs and symptoms of heart disease that should be assessed in pregnant patients?

  • Back pain, stomach ache, sore throat
  • Shortness of breath, fainting with exertion, chest pain with exertion (correct)
  • Coughing out blood spilled mucus, heartburn, headache
  • Swelling in the legs only

Why is it important to classify pregnant patients according to their limitations and ability to withstand activities?

  • To understand their ability to endure physical activity and check for any heart disease limitations (correct)
  • To predict the baby's gender
  • To assess their risk of developing diabetes
  • To determine the color of the baby's eyes

What is the significance of assessing vital signs like blood pressure, pulse rate, and respiratory rate in pregnant patients with heart disease?

  • To assess the risk of developing allergies
  • To evaluate changes in heart workload due to different activities (correct)
  • To monitor risk of skin infections
  • To check for hair loss

Why are oral contraceptives not considered safe for cardiac patients?

<p>They increase the risk of clotting and thrombus formation (B)</p> Signup and view all the answers

Why should pregnant patients discuss safe modes of contraceptives with their doctors?

<p>To identify contraceptives that do not stimulate clotting factors production (D)</p> Signup and view all the answers

Why is it important to assess for signs like syncope with exertion and chest pain in pregnant patients?

<p>To detect potential heart issues that might impact pregnancy (C)</p> Signup and view all the answers

What position should a pregnant patient be placed in to help increase venous return?

<p>Semi-fowler’s or side-lying position (D)</p> Signup and view all the answers

Why is prophylactic antibiotic prescribed for pregnant patients with heart issues?

<p>To prevent bacterial endocarditis (B)</p> Signup and view all the answers

Why should birth control pills be avoided by cardiac patients?

<p>They can lead to blood clots (A)</p> Signup and view all the answers

What intervention should be used cautiously in pregnant patients due to its potential to increase blood pressure?

<p>Oxytocin (C)</p> Signup and view all the answers

Which medication should be continued in pregnant patients unless circulation has been stabilized?

<p>Anticoagulants (A)</p> Signup and view all the answers

What is an appropriate measure to encourage in pregnant patients for pelvic floor strengthening?

<p>Kegals exercise (A)</p> Signup and view all the answers

What is the normal capillary refill time that should be assessed in a nail bed?

<p>Less than 5 seconds (B)</p> Signup and view all the answers

What is a problem sign of right-sided heart failure that can be checked by assessing for neck distention?

<p>Jugular Vein Neck Distention (B)</p> Signup and view all the answers

What technique uses sound waves and has no exposure to radiation for checking the heart of a pregnant woman?

<p>Echocardiography (C)</p> Signup and view all the answers

Which fetal condition is necessary to detect to establish the outcome of pregnancy?

<p>Low birth weight (LBW) (D)</p> Signup and view all the answers

What position is recommended during labor to improve cardiac activity and decrease the risk of supine hypotension?

<p>Side-lying position (B)</p> Signup and view all the answers

How much blood gets shifted from the uterus and placenta into the central circulation during intrapartum management?

<p>&gt;500mL (A)</p> Signup and view all the answers

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