15 Questions
Which of the following is not one of the 2020 National Health Goals related to complications of pregnancy?
Increase the rate of maternal illnesses and complications during pregnancy to 31.1 per 100 births from a baseline of 28 per 100 births
What percentage of pregnancies does cardiovascular disease complicate?
1%
What is the main cause of impaired tissue perfusion in one of the nursing diagnoses mentioned?
Poor heart function due to mitral valve prolapse
At what stage of pregnancy does blood volume and cardiac output increase up to 50%?
28-32 weeks
What is commonly used to categorize the severity of heart disease during pregnancy?
New York Heart Association criteria
Which complication is NOT listed as a nursing diagnosis for a high-risk pregnancy mentioned in the text?
Confusion due to preeclampsia
What is the most common cause of valve damage leading to cardiovascular issues in pregnancy?
Rheumatic fever
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?
Eisenmenger syndrome
Which class of heart disease is characterized by the inability to carry out any physical activity without experiencing discomfort, even at rest?
Class IV
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?
50%
Which intervention will be scheduled for patients with preexisting cardiovascular disease to determine placental perfusion?
Serial uterine artery Doppler ultrasound
Which cardiovascular finding occurs in conditions such as mitral stenosis, mitral insufficiency, and aortic coarction?
Paroxysmal nocturnal dyspnea
What is the most dangerous time for patients with preexisting cardiovascular disease during pregnancy?
28-32 weeks
What type of heart disease is characterized by ordinary physical activity causing excessive fatigue, palpitation, dyspnea, or anginal pain?
(CAD) Coronary artery disease
Which condition will necessitate repeated arterial blood gas (ABG) tests to ensure fetal growth?
Eisenmenger syndrome
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.
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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