During pregnancy
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Increased blood volume | increases to 50% to help perfuse the placenta to get enough O2 to baby
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| Increased HR | increases to 80 or 90 bpm
has to pump harder to move volume through heart faster
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| S/S of CHF & End of Pregnancy | ARE THE SAME
SOB
Fatigue
Edema
Tachycardia
Palpitations
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| New York Heart association classification system for clients w/ heart disease | Assessed at 3 and 8 months gestation
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| Level 1 client w/ heart disease | NO symptoms and NO limitations in ordinary physical activity
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| Level 2 client w/ heart disease | Mild symptoms and slight limitations during ordinary activity. - SOB
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| Type 3 client w/ heart disease | Marked limitations in activity due to symptoms, even during less than ordinary activity
comfortable only at rest
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| Type 4 client w/ heart disease | severe limitations. Experiences symptoms even while at rest.
Mostly bedbound patients
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| Delivery recommendations | Vaginal birth
C- section not recommended b/c to hard on their heart
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| 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
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| Top priority for mom and baby | safety
maintaining normal heart rate
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Created by:
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