Cardiovascular disorder in pregnancy Flashcards

1
Q

What is the percentage of pregnancies complicated by cardiovascular disease?

A

1%

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2
Q

What is the percentage of maternal deaths caused by cardiovascular disorders

A

5%

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3
Q

What are the 4 types of heart disease?

A

Class 1
Class 2
Class 3
Class 4

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4
Q

In class 1 heart disease does normal physical activities cause discomfort?

A

No

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5
Q

What is the expected experience of pregnancy for class 1 heart disease in mothers?

A

normal pregnancy and birth

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6
Q

Is there any symptoms of cardiac insufficiency and anginal pain in class 1 heart disease?

A

No symptoms

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7
Q

What is the level of compromise for class 2 heart disease?

A

slightly compromised

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8
Q

What is the expected experience of pregnancy for class 2 heart disease in mothers?

A

normal pregnancy and birth

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9
Q

Ordinary physical activity can cause what to a mother with class 2 heart disease

A

excessive fatigue
palpitation
dyspnea or anginal pain

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10
Q

What is the level of compromise for class 3 heart disease?

A

Markedly compromise

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11
Q

What kind of physical activity can cause a woman to experience excessive fatigue, palpitations and dyspnea in class 3 heart disease?

A

less than ordinary activity

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12
Q

Which class causes woman to experience excessive fatigue, palpitations, and dyspnea during less than ordinary activity?

A

class 3

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13
Q

Which class causes woman to experience excessive fatigue, palpitations, and dyspnea during ordinary activity?

A

class 2

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14
Q

What is the level of compromise for class 4 heart disease?

A

Severely compromised

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15
Q

Which category of heart disease will the mother be uncompromised?

A

class 1

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16
Q

Which category of heart disease will the mother be

slightly compromised?

A

class 2

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17
Q

Which category of heart disease will the mother be markedly compromised?

18
Q

Which category of heart disease will the mother be severely compromised?

19
Q

Which class will the woman be unable to carry out any physical activity because of discomfort?

20
Q

Why are mothers with class 4 heart disease poor candidates for pregnancy?

A

they are in cardiac failure even at rest even when they arent pregnant

21
Q

Which class is advised to avoid pregnancy?

22
Q

List 5 predisposing factors of mothers with heart disease

A
Smoking
Diabetes
High BP
High blood cholesterol
lack of exercise
being obese
Stress
alcohol
23
Q

What are the preventions of heart disease?

A
eating healthy
maintain a healthy weight
exercising regularly
not smoking
limiting alcohol use
24
Q

What are the types of cardiac diseases?

A

Left sided heart failure

Right sided heart failure

25
What is the cause for left sided heart failure?
The left ventricle cannot move blood forward
26
What does left sided heart failure cause?
It causes back pressure on pulmonary circulation, which causes distention and pulmonary hypertension
27
What is lowered due to left sided heart failure?
Systemic BP is decreased due to the lowered cardiac output
28
What are the signs and symptoms for left sided heart failure? (name at least 4)
``` Dyspnea productive cough with speckled sputum increased RR Increased HR fatigue, weakness, dizziness orthopnea Paroxysmal nocturnal dypnea ```
29
Why is Dyspnea a sign and symptom of left sided heart failure?
Because of pulmonary edema
30
Why s a productive cough with blood speckled sputum a sign and symptom of left sided heart failure?
Due to small amounts of blood leaking into the alveoli
31
What is Orthopnea?
When you sleep with an elevated chest and head
32
What is the cause for right sided heart failure?
The output of the right ventricle is less than blood volume received
33
What are the signs and symptoms of right sided heart failure?
Dyspnea and pain Ascites Peripheral edema
34
What are the complications for the mother with cardiac disease?
Spontaneous miscarriage preterm labor maternal death
35
What are the complications for the fetus with cardiac disease?
low birth weight | fetal death
36
What can you do to manage cardiac disease during labor and birth?
Monitor fetal heart rate Monitor uterine contractions Advise side lying position Administer O2
37
What is the drug of choice to use with mothers with cardiac disease during labor?
epidural an anesthetic
38
What can you do to manage cardiac disease during postpartum?
Administer anticoagulant (heparin) and digoxin therapy until circulation stabilizes
39
What are diagnostic tests to do for mothers with cardiac problems?
Electrocardiogram Echocardiography Chest x ray exam
40
What is an electrocardiogram
It detects the hearts electrical activity
41
What is an echocardiography?
uses sound waves to create a moving picture of heart