30 Questions
What happens to the mother's blood volume and cardiac output during pregnancy?
They increase to approximately 50 percent more than before pregnancy.
At what stage does the mother's blood volume peak during pregnancy?
Second trimester
When are particular periods of high risk for cardiac decompensation during pregnancy?
At the end of the second semester at 28-32 weeks
What symptoms may the normal hemodynamic changes of pregnancy produce?
Fatigue, dyspnea, and light-headedness
What happens to blood circulation in the immediate postpartum period?
Blood returns to the maternal circulation, increasing maternal blood volume.
What effect does receiving epidural or spinal anesthesia during delivery have on blood pressure?
Decreases blood pressure due to blood vessel dilation.
What effect does excessive blood loss with delivery have on the heart?
Causes the heart to work doubly hard
In what position can the gravid uterus dramatically affect venous return to the heart?
Supine position
What conditions can lead to left-sided heart failure?
Mitral stenosis and mitral insufficiency
What is a common sign/symptom of left-sided heart failure?
Pulmonary edema
How does the left side of the heart respond in left-sided heart failure?
Becomes dilated and distended
What happens when fluid passes into the alveoli in pulmonary edema?
Alveolar collapse
What is the primary reason for the productive cough with blood-speckled sputum in this condition?
Rupture of pulmonary capillaries under pressure
What symptom indicates severe pulmonary edema in this condition?
Orthopnea
Why can thrombus formation occur as a secondary problem in Mitral Stenosis?
Blood circulation difficulty due to the condition
What is the primary management strategy recommended for Coarctation of the Aorta to decrease strain on the aorta?
Antihypertensive drug
Why does sudden awakening at night with shortness of breath occur in this condition?
Increased interstitial fluid returning to circulation
Which of the following is a sign of myocardial failure in a woman with peripartal cardiomyopathy?
Shortness of breath
Which medication is considered the drug of choice for early pregnancy to prevent thrombus formation in this condition?
Heparin
What is the advised therapy for a woman with peripartal cardiomyopathy to maintain heart function?
Digitalis
Why is oral contraception contraindicated in women with peripartal cardiomyopathy?
Due to the risk of thromboembolism
What can an uncorrected anomaly of extreme liver enlargement lead to in pregnant women?
Ascites or peripheral edema
What does the abbreviation NCM 109 refer to in the text?
Nursing Care Management 109
What is the main cause of peripartal cardiomyopathy according to the text?
Unknown, stress of pregnancy on the circulatory system
In peripartal cardiomyopathy, why is a woman advised not to attempt any further pregnancies?
Because it tends to recur or worsen
Based on the text, what could MTRYDHFIDIAO EMOL possibly stand for?
Medical Device for Home Delivery and Infusion of Oils
What is the likely meaning of AORBTNIO based on the context?
Acute Onset Respiratory Tract Infection Observation
In the text, what is the likely description of CADTIOSY?
Critical Assessment of Diagnostic Tests in Obstetrics and Gynecology
What does OPRM possibly refer to according to the information provided?
Oral Pain Relief Management
What could LAEFT TPSOAILIMNO likely stand for in the given context?
Lung Assessment for Early Treatment: Strategies to Prevent Severe Outcomes after Inhaled Medication Noncompliance in Obstetrics
Test your knowledge on how the gravid uterus can affect venous return to the heart, leading to challenges like decreased blood volume, increased strain on the heart, and potential risk of cardiac arrest. Understand the implications of positioning on venous return.
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