Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
26 Cards in this Set
- Front
- Back
|
CD ranks _____ among the leading causes of maternal death |
Fourth |
|
|
What is the #1 cause of CD in pregnancy? |
Rheumatic heart disease |
|
|
Pregnancy requires a _____ increase in the cardiac output |
30 - 50% |
|
|
What is the #1 cause of maternal death in CD of pregnancy? |
Decompensation |
|
|
What is meant by decompensation? |
Failure of the heart to maintain adequate circulation |
|
|
What will you observe in the neck of the client with CD of pregnancy? |
Distended neck veins - JVD |
|
|
What will you hear when you auscultate the heart of a client with CD of pregnancy? |
Murmurs |
|
|
What will you hear when you auscultate the lungs of the client with CD of pregnancy? |
Crackles - rales |
|
|
If the client with CD of pregnancy experiences sudden heart failure what is the MOST common thing you will see? |
Sudden onset of shortness of breath - dyspnea |
|
|
What is the #1 treatment of CD during pregnancy? |
Rest |
|
|
What are the three most common drugs given to women with CD of pregnancy? |
1. Diuretics 2. Heparin 3. Digitalis |
|
|
Why are diuretics given to women with CD of pregnancy? |
To promote diuresis, which will lower circulating blood volume, decrease preload, decrease the amount of blood the heart has to pump |
|
|
Why are anticoagulants (heparin only) given to women with CD of pregnancy? |
To prevent thrombophlebitis due to venous congestion, usually in the legs |
|
|
Why is digitalis given to women with CD of pregnancy? |
To increase the strength of the heart and to decrease the rate = rests the heart while making it more efficient |
|
|
Can a woman with CD of pregnancy be given analgesics during labor? |
Yes - in fact they should be given analgesics because they may get too anxious which is bad for the heart |
|
|
Can morphine be given to a woman with CD during labor? |
Yes - even though it negatively affects the fetus -REMEMBER morphine decreases preload and pain which rests the heart |
|
|
What is the most common dietary modification for the woman with CD who shows signs of decompensation? |
Decreased sodium, decreased water |
|
|
Is a C-section mandatory for delivery of a woman with CD of pregnancy? |
No |
|
|
Second to rest, what is very important treatment for CD of pregnancy? |
Weight control |
|
|
How long must the woman with CD of pregnancy be on bed rest after delivery? |
At least one week |
|
|
What nutrients should be supplied in the diet of this woman? |
-Iron -Folic acid -Prevent anemia = anemia always makes the heart work harder |
|
|
What are two most common subjective complaints of the woman who is decompensating during labor? |
SOB, palpitations |
|
|
In addition to the things you assess with every woman in labor, what additional assessment must you make with CD? |
You must assess the LUNGS frequently |
|
|
How often must you assess the lungs sounds during the first stage of labor? During active labor? During transition labor? |
Every 30 to 10 minutes |
|
|
In which position should a woman with CD in labor be? |
Semi recumbent, HOB up |
|
|
The nurse should limit the client's efforts to _____ _____ during labor when CD is present? |
Bear down |
