Medsurg and PP Complication Quiz
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Questions and Answers

What cardiovascular change occurs during early pregnancy?

  • Decreased cardiac output.
  • Increased systemic resistance.
  • Decreased intravascular volume.
  • Increased cardiac output by 30-45%. (correct)
  • What is a common issue for patients with underlying cardiac disease during pregnancy?

  • Increased systemic resistance due to vasodilation.
  • Difficulty in managing increased intravascular volume. (correct)
  • Tolerating high levels of exercise without discomfort.
  • Absence of cardiac decompensation.
  • What does NYHA Functional Classification I indicate?

  • Asymptomatic. (correct)
  • Inability to perform any physical activity.
  • Severe heart failure.
  • Symptomatic with moderate physical activity.
  • Which congenital heart defect is characterized by a left-to-right shunt?

    <p>Atrial septal defect.</p> Signup and view all the answers

    What potential complication can arise from untreated congenital heart defects during pregnancy?

    <p>Pulmonary hypertension.</p> Signup and view all the answers

    What is the usual treatment approach for ventricular septal defects (VSD) identified in childhood?

    <p>Regular monitoring and potential surgical intervention if symptomatic.</p> Signup and view all the answers

    What is a main concern regarding a patent ductus arteriosus (PDA) in pregnancy?

    <p>It is often asymptomatic in adults.</p> Signup and view all the answers

    What major cause can lead to cardiac decompensation in pregnant patients with underlying cardiac diseases?

    <p>Fever.</p> Signup and view all the answers

    What is the primary treatment for Mitral Valve Prolapse if the patient experiences symptoms?

    <p>Beta-blockers</p> Signup and view all the answers

    Which condition is almost always the cause of Mitral Valve Stenosis?

    <p>Rheumatic Heart Disease</p> Signup and view all the answers

    In the case of Aortic Stenosis, what is notable about its occurrence during childbearing years?

    <p>It is rare</p> Signup and view all the answers

    What is a primary goal of treatment for Mitral Valve Stenosis during pregnancy?

    <p>Reduce workload on the heart</p> Signup and view all the answers

    What treatment is often unnecessary for patients with Mitral Valve Prolapse?

    <p>Antibiotics for prophylaxis</p> Signup and view all the answers

    Which of the following is a common association with Tetralogy of Fallot?

    <p>Down syndrome</p> Signup and view all the answers

    What is often maintained as a priority in uncorrected Tetralogy of Fallot?

    <p>Venous return</p> Signup and view all the answers

    What is a common treatment approach for Mitral Valve Stenosis during pregnancy?

    <p>Calcium channel blockers for heart rate control</p> Signup and view all the answers

    What is the threshold for diagnosing anemia in pregnancy during the second trimester?

    <p>Less than 10.5 g/dL</p> Signup and view all the answers

    Which infection is considered the most common postpartum infection?

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

    Which of the following factors is NOT a risk associated with postpartum infections?

    <p>Regular vaginal deliveries</p> Signup and view all the answers

    What is the best approach to prevent postpartum infections according to the care management guidelines?

    <p>Prevention through nutrition and hygiene</p> Signup and view all the answers

    Which of the following is a recommended nursing intervention for preventing postpartum infections?

    <p>Aseptic technique and hand hygiene</p> Signup and view all the answers

    Which condition is related to generalized weakness of connective tissue and aortic root dilation?

    <p>Marfan Syndrome</p> Signup and view all the answers

    What is the primary treatment strategy for Peripartum Cardiomyopathy?

    <p>Anticoagulants and beta-blockers</p> Signup and view all the answers

    Which factor is NOT typically associated with higher risks during pregnancy in women with cardiomyopathy?

    <p>High levels of physical activity</p> Signup and view all the answers

    What is the recommended management for patients with a bioprosthetic valve during pregnancy?

    <p>Regular blood monitoring for anticoagulant needs</p> Signup and view all the answers

    What is the expected outcome for women with Peripartum Cardiomyopathy after 6 months?

    <p>Complete recovery of cardiac function</p> Signup and view all the answers

    Which of the following is a prominent risk factor for Peripartum Cardiomyopathy?

    <p>Tocolytic therapy</p> Signup and view all the answers

    Which statement regarding heart transplantation for pregnant women is accurate?

    <p>Pregnancy is recommended only after stabilizing the immunosuppressant regimen.</p> Signup and view all the answers

    What is a key characteristic of Infective Endocarditis?

    <p>It is associated with IV drug use and heart lesions.</p> Signup and view all the answers

    What is a key intervention to minimize stress on the heart during pregnancy?

    <p>Promote emotional well-being</p> Signup and view all the answers

    Which of the following is a common infection that may lead to cardiac decompensation during pregnancy?

    <p>Urinary tract infection</p> Signup and view all the answers

    What dietary component is particularly important for pregnant individuals at risk for cardiac issues?

    <p>High protein intake</p> Signup and view all the answers

    Which medication should be avoided during intrapartum care for patients with cardiac concerns?

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

    What is a common postoperative assessment for patients after childbirth with cardiac issues?

    <p>Frequent vital signs assessment</p> Signup and view all the answers

    What condition in a pregnant woman can lead to an increased cardiac output?

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

    What is a preferred method of delivery for patients with significant cardiac concerns?

    <p>Vaginal birth with assistance if necessary</p> Signup and view all the answers

    What is a potential risk for infants born to mothers with cardiac issues?

    <p>Congenital heart disease</p> Signup and view all the answers

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