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

    What is a characteristic sign of postpartum infection?

    <p>Elevated body temperature</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</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.</p> Signup and view all the answers

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

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

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

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

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

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

    What cardiovascular change occurs due to more vasodilation during pregnancy?

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

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

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

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

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

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

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

    Which condition is most often asymptomatic until pregnancy?

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

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

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

    Which condition has a notable association with Down syndrome?

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    What is the incidence of peripartum cardiomyopathy per live births?

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

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

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

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

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

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