Cardiac Medications and Contraceptives Precautions

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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?

They increase the risk of clotting and thrombus formation Signup and view all the answers

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

To identify contraceptives that do not stimulate clotting factors production Signup and view all the answers

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

To detect potential heart issues that might impact pregnancy Signup and view all the answers

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

Semi-fowler’s or side-lying position Signup and view all the answers

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

To prevent bacterial endocarditis Signup and view all the answers

Why should birth control pills be avoided by cardiac patients?

They can lead to blood clots Signup and view all the answers

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

Oxytocin Signup and view all the answers

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

Anticoagulants Signup and view all the answers

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

Kegals exercise Signup and view all the answers

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

Less than 5 seconds 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?

Jugular Vein Neck Distention 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?

Echocardiography Signup and view all the answers

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

Low birth weight (LBW) Signup and view all the answers

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

Side-lying position Signup and view all the answers

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

>500mL Signup and view all the answers