18 Questions
What are some specific signs and symptoms of heart disease that should be assessed in pregnant patients?
Shortness of breath, fainting with exertion, chest pain with exertion
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
What is the significance of assessing vital signs like blood pressure, pulse rate, and respiratory rate in pregnant patients with heart disease?
To evaluate changes in heart workload due to different activities
Why are oral contraceptives not considered safe for cardiac patients?
They increase the risk of clotting and thrombus formation
Why should pregnant patients discuss safe modes of contraceptives with their doctors?
To identify contraceptives that do not stimulate clotting factors production
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
What position should a pregnant patient be placed in to help increase venous return?
Semi-fowler’s or side-lying position
Why is prophylactic antibiotic prescribed for pregnant patients with heart issues?
To prevent bacterial endocarditis
Why should birth control pills be avoided by cardiac patients?
They can lead to blood clots
What intervention should be used cautiously in pregnant patients due to its potential to increase blood pressure?
Oxytocin
Which medication should be continued in pregnant patients unless circulation has been stabilized?
Anticoagulants
What is an appropriate measure to encourage in pregnant patients for pelvic floor strengthening?
Kegals exercise
What is the normal capillary refill time that should be assessed in a nail bed?
Less than 5 seconds
What is a problem sign of right-sided heart failure that can be checked by assessing for neck distention?
Jugular Vein Neck Distention
What technique uses sound waves and has no exposure to radiation for checking the heart of a pregnant woman?
Echocardiography
Which fetal condition is necessary to detect to establish the outcome of pregnancy?
Low birth weight (LBW)
What position is recommended during labor to improve cardiac activity and decrease the risk of supine hypotension?
Side-lying position
How much blood gets shifted from the uterus and placenta into the central circulation during intrapartum management?
>500mL
Learn about the precautions needed when using cardiac medications in conjunction with different types of contraceptives to avoid complications such as clotting and thrombus formation. Explore how specific medications can interact with oral contraceptives and other hormonal contraceptives.
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