Hemodynamic Changes in Pregnancy and Heart Disease Quiz
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Questions and Answers

What is the management approach in the first stage of labor for a patient with pulmonary congestion?

  • Immediate digitalization
  • Administration of bronchodilators
  • Initiation of anticoagulants
  • Use of diuretics (correct)
  • For prevention of infective endocarditis, what is recommended?

  • Cardiac monitoring and pulse oximetry (correct)
  • Continuous hemodynamic monitoring
  • Strict cardiovascular monitoring
  • Administration of bronchodilators
  • During the third stage of labor, what is the suggested dosage for oxytocin administration?

  • 10 U oxytocin IM (correct)
  • 5 U oxytocin IM
  • 15 U oxytocin IM
  • 20 U oxytocin IM
  • What is advised during the first hour after delivery to watch for signs of in a patient?

    <p>Pulmonary congestion</p> Signup and view all the answers

    What contraceptive method is considered the best option at the time of discharge?

    <p>Progesterone-based methods like DMPA</p> Signup and view all the answers

    What type of pain relief is recommended during labor to avoid spinal block or saddle block?

    <p>Pudendal block</p> Signup and view all the answers

    Which parameter increases the most during normal pregnancy?

    <p>Cardiac output</p> Signup and view all the answers

    What is a common symptom that mimics cardiac disease during pregnancy?

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

    What is a common clinical finding associated with heart disease?

    <p>Clubbing of fingers</p> Signup and view all the answers

    Which diagnostic tool is used to assess cardiac status and structural anomalies during pregnancy?

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

    What is a common risk factor associated with heart disease during pregnancy?

    <p>Multiple pregnancies</p> Signup and view all the answers

    What is the NYHA functional grading for a patient who experiences symptoms with normal physical activity?

    <p>Grade II</p> Signup and view all the answers

    When is medical termination of pregnancy advised for high-risk groups due to heart disease?

    <p>In the first trimester before 8 weeks</p> Signup and view all the answers

    What is a key aspect of antenatal care for pregnant women with heart disease?

    <p>Dietary salt restriction</p> Signup and view all the answers

    What is a common indication for emergency admission during pregnancy with heart disease?

    <p>Deterioration of functional grade</p> Signup and view all the answers

    What is a suggested management practice during the first stage of labor for women with heart disease?

    <p>Confined to bed</p> Signup and view all the answers

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