1229 Exam 3: Maternal Cardiac

Question 1

CV Changes of pregnancy

Answer 1

Anatomical position
Cardiac Hypertrophy
Pulse
Blood pressure-at highest when sitting, lay on her side to shift babies weight
Venous compression
Cardiac output-increased 30-50%
Decreased heart

Question 2

NYHA classification

Answer 2

Classes: I-pretty mild
II
III
IV-severe

Question 3

Cardiac Decompensation

Answer 3

same client who is normally compensated is now in early shock LOC changes. Need to teach spouse or whoever sees them the most

Question 4

Peripartum Cardiomyopathy

Answer 4

goes into pregnancy thinking everything is ok, but later develops symptoms. High risk for clots

Question 5

Rheumatic Heart Disease

Answer 5

acquired from untreated Strep B

Question 6

Mitral Valve Stenosis

Answer 6

where the mitral valve doesn’t open as wide as it should

Question 7

Mitral Valve Prolapse

Answer 7

where the valve does not close properly in the upper and lower chambers on the left side

Question 8

Atrial and Ventricular Septal Defect

Answer 8

left ventricle is stronger to pump blood all over the body

Question 9

Infective Endocarditis

Answer 9

an infection of the lining of the heart chambers and heart valves that is caused by bacteria, fungi, or other infectious substances

Question 10

Eisenmengers Syndrome

Answer 10

a condition that affects blood flow from the heart to the lungs in some babies who have structural problems of the heart

Question 11

Tetralogy of Fallot

Answer 11

the most common heart defect in children. The condition causes mixing of oxygen poor blood with the oxygen rich blood being pumped out of the heart and into the circulatory system of blood vessels.
The blood leaving the heart has less oxygen than is needed by the organs and tissues of the body, a condition called hypoxemia.
Chronic lack of oxygen causes cyanosis, a bluish color of the skin, lips, and membranes inside the mouth and nose.

Question 12

Marian Syndrome

Answer 12

autosomal dominant 50% transmission rate, connective tissue disorder, aortic is the tissue under pressure, aorta may burst or tear(aortic dissection)

Question 13

Heart Transplant

Answer 13

need to wait a year before having a baby

Question 14

SBAR

Answer 14

Situation
Background
Assessment
Recommendation

Question 15

Assessment

Answer 15

Interview
-History
-Stressors(27.1)
-System Review
-Med Review
-Family/Culture(21.7)
Physical Exam
Lab & DX Test (21.4)
Ruling out other DX

Question 16

Treatment/Interventions

Answer 16

Minimize stress on heart
-co exisiting stressors
-activities
-teach
Heart surgery
Peripartum
Intrapartum
Postpartum
Cardiac Arrest (319-320)

Question 17

NYHA Class IV

Answer 17

Antibiotics
Nutrition
Meds
Lab
Teach

Question 18

Patient should

Answer 18

Verbalize understanding of disorder, management, probable outcome
Describe role in management, including when/how to take meds, diet adjustments, preparing for/participating in treatment
Cope with emotional reactions
Adapt to physical stressors of pregnancy, labor, birth
Identify/use support
Carry fetus to viability/to term