Cardiac Disorders during Pregnancy

Question 1

Tetralogy of Fallot, arterial septal defect, ventricular
septal defect, patent ductus arteriosus, coarctation of
the aorta

Answer 1

Congenital Heart Defects

Question 2

Mitral valve stenosis (narrowed mitral valve)

Answer 2

Rheumatic Heart Disease

Question 3

Disruption/rupture of the aorta

Answer 3

Marfan Syndrome

Question 4

Left to right shunting (atrial septal defect, ventricular
septal defect)

Answer 4

Eisenmenger Syndrome

Question 5

Pulmonary hypertension is developed

Answer 5

Eisenmenger Syndrome

Question 6

Is a result of untreated congenital heart defects

Answer 6

Eisenmenger Syndrome

Question 7

• Have cardiac disease but no limitation of physical activity.
• No symptoms of cardiac insufficiency

Answer 7

Uncompromised Heart Disease

Question 8

• The patient is comfortable at rest, but experiences
  discomforts with ordinary physical activity
• Experiences fatigue, dyspnea, palpitation, chest pain, shortness of
  breath

Answer 8

Slightly compromised

Question 9

• Marked limitation of physical activities.
• Comfortable at rest but experiences discomforts with
  less than ordinary physical activity (walking)

Answer 9

Markedly Compromised

Question 10

Can complete pregnancy by maintaining special interventions such as bedrest

Answer 10

Markedly compromised

Question 11

• Would result to inability of the patient to carry on any
  physical activity without experiencing discomforts
• Experiencing symptoms of cardiac insufficiency even
  at rest

Answer 11

Severely compromised

Question 12

Advised to avoid pregnancy

Answer 12

Severely Compromised

Question 13

Patient may carry out her pregnancy by giving medication and serious monitoring

Answer 13

Left Side Heart Failure

Question 14

When pulmonary pressure reaches 25 mm/Hg, fluid will begin to pass from the pulmonary capillary membrane into the capillary

Answer 14

Pulmonary Edema

Question 15

Pulmonary capillaries are ruptured

Answer 15

Productive cough with blood speckled sputum

Question 16

Experiences shortness of breath in the middle of the night as the heart action is more effective when the patient is at rest.

Answer 16

Paroxysmal nocturnal dyspnea

Question 17

Women are advised not to get pregnant

Answer 17

Right Side Heart Failure

Question 18

Right ventricle fails to effectively pump blood to the lungs, causing a buildup of pressure in the venous system.

Answer 18

Distended jugular vein

Question 19

Indicates heightened blood flow in the portal vein

Answer 19

Increased portal circulation

Question 20

Enlarged liver due to inadequate blood flow

Answer 20

Hepatomegaly

Question 21

Liver is pressed upward by the uterus, which will put pressure in the diaphragm that causes dsypnea and pain

Answer 21

Dyspnea

Question 22

Enlarged spleen due to compromised blood flow

Answer 22

Splenomegaly

Question 23

Distention coming from the back pressure, the
abominable cavity and lower extremities becomes
distended, that will result in the fluids extruding to
the peritoneal cavity

Answer 23

Ascites

Question 24

results in swelling in the extremities due to fluid
retention.

Answer 24

Peripheral Edema

Question 25

To slow the ventricular response and to increase myocardial contractility

Answer 25

Digoxin

Question 26

- To reduce blood volume - For acute and chronic heart failure with prolonged potassium supplements

Answer 26

Diuretics

Question 27

To prevent thrombus formation

Answer 27

ANTICOAGULANTS (low molecular weight heparin)

Question 28

To decrease the strain of the aorta and decrease blood pressure.

Answer 28

Beta-Adrenergic Blockers

Question 29

Help relieves bronchospasm

Answer 29

Aminophylline