Cardiovascular Disorders in Pregnancy Quiz

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Questions and Answers

Match the following cardiovascular disorders with their associated care in pregnant women:

Cardiac decompensation = Management involves close monitoring and medication adjustments Anemia = Administer iron supplements and monitor hemoglobin levels Pulmonary disorders = Provide oxygen support and consider breathing exercises Integumentary disorders = Assess skin changes and educate on skincare

Match the postpartum complications with their respective management strategies:

Postpartum hemorrhage = Monitor vital signs and administer IV fluids Hypovolemic shock = Immediate blood transfusion and supportive care Coagulopathies = Identify underlying cause and administer anticoagulants Postpartum infection = Long-term antibiotics and patient education on signs

Match the effects of different disorders on pregnancy with their descriptions:

Neurologic disorders = May cause increased risk of seizures during pregnancy Autoimmune disorders = Can lead to complications with fetal growth Gastrointestinal disorders = May result in nausea and dietary restrictions Urinary tract infections = Typically present with dysuria and flank pain

Match the nursing interventions with the appropriate condition during pregnancy:

<p>Cardiovascular disorder = Assess heart rate and maintain hydration Anemia = Encourage dietary changes and iron-rich foods Pulmonary disorder = Teach deep breathing exercises and monitor oxygen levels UTI = Encourage increased fluid intake and perform urine analysis</p> Signup and view all the answers

Match the symptoms with the corresponding postpartum issue:

<p>Postpartum hemorrhage = Excessive vaginal bleeding and weak pulse Hypovolemic shock = Cold clammy skin and confusion Coagulopathies = Bruising and prolonged bleeding time Postpartum infection = Fever and abdominal tenderness</p> Signup and view all the answers

Match the type of management with the associated postpartum condition:

<p>Coagulopathies = Monitor clotting factors and involve hematology Postpartum hemorrhage = Surgical intervention if bleeding persists Venous thromboembolic disorders = Compression therapy and anticoagulation Postpartum infection = Culture and sensitivity-guided antibiotics</p> Signup and view all the answers

Match the condition with its primary characteristic during pregnancy:

<p>Anemia = Decreased red blood cell count leading to fatigue Cardiac decompensation = Inability of the heart to pump sufficient blood Pulmonary disorder = Compromised oxygenation and respiratory distress Integumentary disorder = Changes in skin pigmentation and elasticity</p> Signup and view all the answers

Match the following conditions with their incidence during pregnancy:

<p>Urinary tract infection = Common due to hormonal changes Pulmonary disorder = Less common but can complicate care Autoimmune disorder = Variable incidence based on population Neurologic disorder = Rare but significant in risk assessments</p> Signup and view all the answers

Match the following types of cardiovascular disorders with their descriptions:

<p>Congenital = Present at birth, may include defects like VSD and ASD Acquired = Develops after birth due to various factors Other = Includes various cardiovascular conditions not classified as congenital or acquired Acyanotic = Conditions that do not result in cyanosis, such as ASD and VSD</p> Signup and view all the answers

Match the following cardiovascular changes during pregnancy with their effects:

<p>Increased intravascular volume = Leads to increased cardiac workload Decreased systemic resistance = Facilitates blood flow but can cause strain Changes in cardiac output = May lead to cardiac decompensation if not well tolerated Changes in intravascular volume after delivery = Causes significant stress on the heart</p> Signup and view all the answers

Match the following heart disease classifications with their functional levels:

<p>NYHA Class I = Asymptomatic with no limitation of physical activity NYHA Class II = Symptomatic with slight limitation during physical activity NYHA Class III = Marked limitation of physical activity but comfortable at rest NYHA Class IV = Inability to carry on any physical activity without discomfort</p> Signup and view all the answers

Match the following congenital cardiovascular conditions with their common features:

<p>Ventricular Septal Defect (VSD) = Involves a left-to-right shunt Atrial Septal Defect (ASD) = Typically asymptomatic but can lead to arrhythmias Patent Ductus Arteriosus (PDA) = Rarely occurs in newborns as it should close after birth Coarctation of the Aorta = Acyanotic lesion that may require surgery</p> Signup and view all the answers

Match the following potential complications with their related cardiovascular disorders:

<p>Heart failure = Can result from untreated ASD or VSD Pulmonary hypertension = May develop from left-to-right shunts Thromboembolic events = Prophylaxis needed in higher risk patients Arrhythmias = Common in children with ASD</p> Signup and view all the answers

Match the following terms with their definitions:

<p>Cardiac Output = The volume of blood the heart pumps per minute Decompensation = The heart's inability to maintain adequate output Acyanotic Heart Disease = Heart defects that do not lead to bluish skin tones Functional Class = Classification based on the patient's symptoms and limitations</p> Signup and view all the answers

Match the following prenatal assessments with their purposes:

<p>Functional class reassessment = Determines cardiac capability during pregnancy Assessment at 3 months = Early identification of potential complications Assessment at 7-8 months = Evaluates stress on the heart close to delivery Increased monitoring frequency = Helps identify decompensation risks</p> Signup and view all the answers

Match the following descriptions with the corresponding treatments:

<p>Thromboembolic prophylaxis = Needed for patients with congenital defects Surgical correction = Common treatment for VSD and PDA in childhood Monitoring and assessment = Key for managing cardiac patients during pregnancy Symptomatic treatment = Provided for patients with NYHA Class IV heart disease</p> Signup and view all the answers

Match the following cardiovascular disorders with their descriptions:

<p>Aortic Stenosis = Rare in childbearing years Mitral Valve Prolapse = Backflow of blood during ventricular systole Mitral Valve Stenosis = Obstructs flow from left atrium to left ventricle Cyanotic Lesions = Usually associated with Down syndrome</p> Signup and view all the answers

Match the treatment options with their corresponding conditions:

<p>Beta-blockers = Mitral Valve Prolapse Surgical repair = Tetralogy of Fallot Prophylactic antibiotics = Mitral Valve Stenosis Fluid restriction = Coarctation of the Aorta</p> Signup and view all the answers

Match the symptoms or conditions with the appropriate heart disorders:

<p>Pulmonary edema = Mitral Valve Stenosis Asymptomatic until pregnancy = Mitral Valve Stenosis Critical period late third trimester = Tetralogy of Fallot Ventricular systole = Mitral Valve Prolapse</p> Signup and view all the answers

Match the terms with their related procedures or considerations:

<p>Beta blocker = Decrease heart rate Lasix = Manage fluid overload Anticoagulation therapy = Mitral Valve Stenosis Balloon valvuloplasty = Aortic Stenosis correction</p> Signup and view all the answers

Match the heart conditions with their notable characteristics:

<p>Cyanotic Lesions = Usually corrected as a child Mitral Valve Prolapse = Common and benign Mitral Valve Stenosis = Atrial fibrillation risk Aortic Stenosis = Obstructs left ventricle outflow</p> Signup and view all the answers

Match the sequence of events or goals with the respective heart conditions:

<p>Maintain venous return = Cyanotic Lesions Reduce workload on the heart = Mitral Valve Stenosis Healthy delivery of the baby = Mitral Valve Stenosis Avoid C/S due to fluid shift = Mitral Valve Stenosis</p> Signup and view all the answers

Match the cardiovascular disorder with its key characteristic or treatment:

<p>Marfan Syndrome = Autosomal dominant genetic disorder affecting connective tissue Infective Endocarditis = Treatment with antibiotics and knowledge of risk factors Heart Transplantation = Requires stable immunosuppressant regimen before pregnancy Peripartum Cardiomyopathy = CHF with sudden onset occurring peripartum to postpartum</p> Signup and view all the answers

Match the heart conditions with their associated complications:

<p>Mitral Valve Stenosis = Right-sided heart failure Mitral Valve Prolapse = Endocarditis risk Cyanotic Lesions = Possible need for surgical intervention Aortic Stenosis = Rare in pregnancy</p> Signup and view all the answers

Match the heart conditions with their classification or types:

<p>Acquired = Mitral Valve Stenosis Congenital = Coarctation of the Aorta</p> Signup and view all the answers

Match the cardiovascular disorder with its preferred care approach:

<p>Valve Replacement = Bioprosthetic valve preferred due to anticoagulant management Ischemic Cardiac Disease = Standard MI treatment is rare in childbearing years Peripartum Cardiomyopathy = Treatment includes diuretics and afterload reducing agents Marfan Syndrome = Management involves rest and beta blockers</p> Signup and view all the answers

Match the characteristic with the relevant cardiovascular disorder:

<p>Marfan Syndrome = Aortic root dilation Infective Endocarditis = Heart lesions from IV drug use Heart Transplantation = Requires monitoring for rejection Peripartum Cardiomyopathy = Incidence of 1 in 3000 to 4000 live births</p> Signup and view all the answers

Match the treatment options with the relevant cardiovascular issue:

<p>Peripartum Cardiomyopathy = ACE inhibitors and anti-coagulants Heart Transplantation = Fairly normal pregnancy after one year post-transplant Valve Replacement = Close blood monitoring due to hypercoagulable state Infective Endocarditis = Antibiotics indicated</p> Signup and view all the answers

Match the demographic risk factor with the cardiovascular disorder:

<p>Peripartum Cardiomyopathy = Multiparous and obesity Marfan Syndrome = Generalized weakness of connective tissue Ischemic Cardiac Disease = Rare in childbearing years Infective Endocarditis = Higher risk in IV drug users</p> Signup and view all the answers

Match the outcome with the associated cardiovascular condition:

<p>Peripartum Cardiomyopathy = 50% recovery in 6 months if LV function recovers Heart Transplantation = Normal cardiac function before pregnancy Valve Replacement = Lower durability with bioprosthetic valves Infective Endocarditis = Not related to mitral valve prolapse</p> Signup and view all the answers

Match the complication with the cardiovascular condition:

<p>Peripartum Cardiomyopathy = High reoccurrence risk of 20-50% Marfan Syndrome = Aortic dilation leading to potential life-threatening events Heart Transplantation = Need for careful immunosuppression Infective Endocarditis = Risk of serious heart lesions</p> Signup and view all the answers

Match the treatment strategy with the provided cardiovascular disorder:

<p>Peripartum Cardiomyopathy = Sodium and fluid restrictions Marfan Syndrome = Encouragement of rest Ischemic Cardiac Disease = Standard treatment protocols applicable Infective Endocarditis = Assessment of risk factors and immediate treatment</p> Signup and view all the answers

Match the cardiac conditions with their descriptions:

<p>Mitral valve prolapse = A condition that may cause heart murmurs and palpitations. Mitral valve stenosis = Narrowing of the mitral valve which can lead to heart failure. Cardiac decompensation = A state where the heart is unable to maintain adequate circulation. Congenital heart disease = Heart abnormalities present at birth that affect blood flow.</p> Signup and view all the answers

Match the stressors to their corresponding effects on the heart:

<p>Obesity = Increases workload on the heart. HTN = Causes increased vascular resistance. Anemia = Reduces oxygen carrying capacity of blood. Hyperthyroidism = Elevates heart rate and metabolic demand.</p> Signup and view all the answers

Match the dietary recommendations with their purposes:

<p>Iron supplementation = Prevents anemia. Folic acid supplementation = Supports fetal development. High protein diet = Aids muscle recovery and energy. Fluid restriction = Minimizes the risk of edema.</p> Signup and view all the answers

Match the medications with their reasons for avoidance:

<p>Methergine = Can cause hypertension. Beta-adrenergic agents = May lead to tachycardia and pulmonary edema. Anticoagulants = Require careful monitoring of drug levels. Diuretics = Potentially decrease milk supply postpartum.</p> Signup and view all the answers

Match the intrapartum care techniques with their objectives:

<p>Continuous pulse oximetry = Monitors oxygenation levels. Labor epidurals = Minimize anxiety and pain. Vaginal birth preference = Reduces risk of complications. Frequent vital sign checks = Ensures hemodynamic stability.</p> Signup and view all the answers

Match the postpartum concerns with their descriptions:

<p>Fluid balance = Critical in preventing overload. Cardiac output stabilization = Usually occurs within 2 weeks. Frequent vascular assessment = Monitors for potential complications. Increased risk of congenital heart disease = Concern for newborn health.</p> Signup and view all the answers

Match the types of infections with their associated risks:

<p>UTIs during pregnancy = Most common infection leading to cardiac decompensation. Respiratory infections = Can cause increased work for the heart. Endocarditis = Inflammation of inner heart tissues. Sepsis = Can exacerbate cardiac conditions rapidly.</p> Signup and view all the answers

Match the fetal surveillance methods with their purposes:

<p>Non-Stress Test (NST) = Assess fetal heart rate responsiveness. Amniotic Fluid Index (AFI) = Evaluates placental sufficiency. Ultrasound = Visualizes fetal growth and anatomy. Fetal heart monitoring = Tracks overall fetal well-being.</p> Signup and view all the answers

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