Nursing Care for Cardiovascular Disorders in Pregnancy
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Questions and Answers

What is a critical concern when managing cardiovascular disorders in pregnant women?

  • Prevention of gestational diabetes
  • Monitoring fetal heart rate exclusively
  • Management of cardiac decompensation (correct)
  • Reducing maternal weight gain

Which of the following is an important nursing intervention for a pregnant woman with a cardiovascular disorder?

  • Encouraging frequent strenuous exercise
  • Discouraging rest periods
  • Monitoring vital signs regularly (correct)
  • Limiting all fluid intake

Which statement correctly describes anemia during pregnancy?

  • It can lead to increased maternal fatigue and complications. (correct)
  • It generally does not require treatment.
  • It primarily affects fetal development without maternal impact.
  • It is only caused by iron deficiency.

What is a common complication of postpartum hemorrhage?

<p>Hemorrhagic (hypovolemic) shock (B)</p> Signup and view all the answers

What is a primary nursing management strategy for treating coagulopathies in postpartum women?

<p>Identifying etiology and providing appropriate treatments (A)</p> Signup and view all the answers

What distinguishes venous thromboembolic disorders during pregnancy from the postpartum period?

<p>Risk factors change significantly between the two periods. (A)</p> Signup and view all the answers

What is a characteristic sign of postpartum infection?

<p>Elevated body temperature (B)</p> Signup and view all the answers

Which of the following factors can influence the effects of autoimmune disorders on pregnancy?

<p>The type of autoimmune disorder (A)</p> Signup and view all the answers

Which of the following is true regarding urinary tract infections during pregnancy?

<p>They require careful differentiation from other conditions. (D)</p> Signup and view all the answers

What percentage increase in cardiac output occurs during the first trimester of pregnancy?

<p>30-45% (D)</p> Signup and view all the answers

What is a potential consequence of cardiac decompensation in patients with underlying cardiac disease during pregnancy?

<p>Inability to maintain sufficient cardiac output (D)</p> Signup and view all the answers

Which of the following heart disease classifications has the highest level of symptom severity according to the NYHA classification?

<p>Class IV (A)</p> Signup and view all the answers

Which type of congenital heart defect typically concerns a left-to-right shunt?

<p>Atrial septal defect (D)</p> Signup and view all the answers

What is a common treatment approach for patients with VSD and PDA?

<p>Thromboembolic prophylaxis (A)</p> Signup and view all the answers

What is a vital assessment period for patients with underlying cardiac disease during pregnancy?

<p>Typically at 3 months and 7-8 months (C)</p> Signup and view all the answers

What happens to intravascular volume after delivery that can affect patients with cardiac disease?

<p>There is a significant shift after the placenta is delivered (B)</p> Signup and view all the answers

What cardiovascular change occurs due to more vasodilation during pregnancy?

<p>Decreased systemic resistance (C)</p> Signup and view all the answers

Which condition is typically asymptomatic and is the most common congenital heart disease seen in pregnancy?

<p>Atrial septal defect (C)</p> Signup and view all the answers

What can be a major cause of cardiac decompensation in patients during pregnancy?

<p>Fever (A)</p> Signup and view all the answers

What is the primary treatment for Mitral Valve Prolapse when symptoms are present?

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

In which condition is maintaining venous return a priority if untreated?

<p>Tetralogy of Fallot (A)</p> Signup and view all the answers

Which condition is most often asymptomatic until pregnancy?

<p>Mitral Valve Stenosis (A)</p> Signup and view all the answers

What is a common risk associated with untreated Mitral Valve Stenosis?

<p>Endocarditis (B)</p> Signup and view all the answers

What type of delivery method is preferred for patients with significant fluid volume concerns in Mitral Valve Stenosis?

<p>Assisted vaginal birth with vacuum (B)</p> Signup and view all the answers

What class of medications is used in managing heart rate in patients with Mitral Valve Stenosis?

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

Which of the following is typically NOT used in the treatment of Mitral Valve Prolapse?

<p>Heart transplant (C)</p> Signup and view all the answers

Which condition has a notable association with Down syndrome?

<p>Tetralogy of Fallot (D)</p> Signup and view all the answers

For which condition is a balloon valvuloplasty potentially indicated during labor?

<p>Mitral Valve Stenosis (A)</p> Signup and view all the answers

What is the typical approach to managing Aortic Stenosis in childbearing years?

<p>Regular monitoring only (B)</p> Signup and view all the answers

What is the most common infection during pregnancy that can lead to cardiac decompensation?

<p>UTI (A)</p> Signup and view all the answers

Which dietary component is emphasized for women with cardiac issues during pregnancy?

<p>Iron and folic acid (B)</p> Signup and view all the answers

What medication should be avoided during the postpartum period due to the risk of hypertension?

<p>Methergine (C)</p> Signup and view all the answers

Which of the following is a common consequence of anemia in pregnant women?

<p>Increased cardiac output (D)</p> Signup and view all the answers

What is a recommended pain management approach during labor for women with heart complications?

<p>Epidurals (B)</p> Signup and view all the answers

What is a significant risk associated with cesarean sections for pregnant women with heart conditions?

<p>Increase in blood loss (B)</p> Signup and view all the answers

What is the primary treatment for Marfan Syndrome in managing cardiovascular complications?

<p>Rest and beta blockers (D)</p> Signup and view all the answers

Which of the following is a significant risk factor for infective endocarditis?

<p>IV drug use (B)</p> Signup and view all the answers

What is the preferred type of valve for replacement in high-risk anticoagulation patients?

<p>Bioprosthetic valve (D)</p> Signup and view all the answers

In which condition is ventricular function failure associated with a high mortality rate if recovery does not occur?

<p>Peripartum cardiomyopathy (B)</p> Signup and view all the answers

Which of the following factors does NOT indicate an increased risk of peripartum cardiomyopathy?

<p>Age above 35 (B)</p> Signup and view all the answers

What is the incidence of peripartum cardiomyopathy per live births?

<p>1 in 3000 to 4000 (D)</p> Signup and view all the answers

What management strategy is most important for women with valve replacement during pregnancy?

<p>Regular blood monitoring (D)</p> Signup and view all the answers

Which medication is least likely to be used in the treatment of peripartum cardiomyopathy?

<p>Insulin (D)</p> Signup and view all the answers

What is a potential outcome for women who experience failure of left ventricular function due to peripartum cardiomyopathy?

<p>High likelihood of needing a heart transplant (A)</p> Signup and view all the answers

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