Nursing Care of High-Risk Pregnancies Quiz
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Questions and Answers

Which of the following is not one of the 2020 National Health Goals related to complications of pregnancy?

  • Reduce the rate of maternal deaths to 11.4 per 100,000 live births from a baseline of 12.7 per 100,000 live births
  • Reduce the rate of maternal illnesses and complications during pregnancy to 28 per 100 births from a baseline of 31.1 deaths per 100 births
  • Reduce the fetal deaths to 5.6 per 1,000 live births from a baseline of 6.2 per 1,000 live births
  • Increase the rate of maternal illnesses and complications during pregnancy to 31.1 per 100 births from a baseline of 28 per 100 births (correct)

    • What percentage of pregnancies does cardiovascular disease complicate?

  • 10%
  • 15%
  • 1% (correct)
  • 5%

    • What is the main cause of impaired tissue perfusion in one of the nursing diagnoses mentioned?

  • High blood pressure
  • Excessive blood clotting
  • Lack of oxygen in the blood
  • Poor heart function due to mitral valve prolapse (correct)

    • At what stage of pregnancy does blood volume and cardiac output increase up to 50%?

    <p>28-32 weeks</p> Signup and view all the answers

    What is commonly used to categorize the severity of heart disease during pregnancy?

    <p>New York Heart Association criteria</p> Signup and view all the answers

    Which complication is NOT listed as a nursing diagnosis for a high-risk pregnancy mentioned in the text?

    <p>Confusion due to preeclampsia</p> Signup and view all the answers

    What is the most common cause of valve damage leading to cardiovascular issues in pregnancy?

    <p>Rheumatic fever</p> Signup and view all the answers

    Which condition may lead to right-sided heart failure and is characterized by a right to left atrial or ventricular septal defect with accompanying pulmonary valve stenosis?

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

    Which class of heart disease is characterized by the inability to carry out any physical activity without experiencing discomfort, even at rest?

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

    What is the approximate mortality rate for peripartum cardiomyopathy, an extremely rare condition that originates in pregnancy and has no previous history of heart disease?

    <p>50%</p> Signup and view all the answers

    Which intervention will be scheduled for patients with preexisting cardiovascular disease to determine placental perfusion?

    <p>Serial uterine artery Doppler ultrasound</p> Signup and view all the answers

    Which cardiovascular finding occurs in conditions such as mitral stenosis, mitral insufficiency, and aortic coarction?

    <p>Paroxysmal nocturnal dyspnea</p> Signup and view all the answers

    What is the most dangerous time for patients with preexisting cardiovascular disease during pregnancy?

    <p>28-32 weeks</p> Signup and view all the answers

    What type of heart disease is characterized by ordinary physical activity causing excessive fatigue, palpitation, dyspnea, or anginal pain?

    <p>(CAD) Coronary artery disease</p> Signup and view all the answers

    Which condition will necessitate repeated arterial blood gas (ABG) tests to ensure fetal growth?

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

    Study Notes

    Complications of Pregnancy

    • Cardiovascular disease complicates approximately 1-4% of pregnancies.

    Stages of Pregnancy

    • Blood volume and cardiac output increase up to 50% during the 12-24 week stage of pregnancy.

    Heart Disease Severity

    • The New York Heart Association Classification is commonly used to categorize the severity of heart disease during pregnancy.

    Heart Disease Causes

    • Rheumatic fever is the most common cause of valve damage leading to cardiovascular issues in pregnancy.

    Heart Conditions

    • Tetralogy of Fallot may lead to right-sided heart failure and is characterized by a right to left atrial or ventricular septal defect with accompanying pulmonary valve stenosis.
    • Class IV heart disease is characterized by the inability to carry out any physical activity without experiencing discomfort, even at rest.

    Mortality Rate

    • The approximate mortality rate for peripartum cardiomyopathy is 20-50%.

    Interventions

    • Non-stress tests will be scheduled for patients with preexisting cardiovascular disease to determine placental perfusion.

    Cardiovascular Findings

    • Increased jugular venous pressure and hepatomegaly are cardiovascular findings that occur in conditions such as mitral stenosis, mitral insufficiency, and aortic coarction.

    High-Risk Pregnancy

    • The most dangerous time for patients with preexisting cardiovascular disease is during the third trimester.
    • Class III heart disease is characterized by ordinary physical activity causing excessive fatigue, palpitation, dyspnea, or anginal pain.

    Fetal Growth

    • Intrauterine growth restriction will necessitate repeated arterial blood gas (ABG) tests to ensure fetal growth.

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    Description

    Test your knowledge of nursing care for high-risk pregnancies involving preexisting or newly acquired illnesses. Assessments, nursing diagnoses, and interventions for complications related to pregnancy are covered in this quiz.

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