Question | Answer |
Increased blood volume | increases to 50% to help perfuse the placenta to get enough O2 to baby |
Increased HR | increases to 80 or 90 bpm
has to pump harder to move volume through heart faster |
S/S of CHF & End of Pregnancy | ARE THE SAME
SOB
Fatigue
Edema
Tachycardia
Palpitations |
New York Heart association classification system for clients w/ heart disease | Assessed at 3 and 8 months gestation |
Level 1 client w/ heart disease | NO symptoms and NO limitations in ordinary physical activity |
Level 2 client w/ heart disease | Mild symptoms and slight limitations during ordinary activity. - SOB |
Type 3 client w/ heart disease | Marked limitations in activity due to symptoms, even during less than ordinary activity
comfortable only at rest |
Type 4 client w/ heart disease | severe limitations. Experiences symptoms even while at rest.
Mostly bedbound patients |
Delivery recommendations | Vaginal birth
C- section not recommended b/c to hard on their heart |
Nursing interventions during labor | Watch I& O
Watch FHR- no decels
Have pt in semi fowlers & side lying position
O2 via non breather mask
careful administration of IV fluids
Monitor labor progression
Maintain heart rate 70-90bpm
maintain preload
Monitor V/S |
Top priority for mom and baby | safety
maintaining normal heart rate |