Lesson 2 Flashcards

1
Q

Blood volume peaks at ______

A

24 to 28 werks

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2
Q

Cardiac output increases _____

A

50%

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3
Q

The team approach to care during pregnancy consists of?

A

Internist
OB
Nurse

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4
Q

When is the most dangerous period for pregnant women

A

28 to 32 weeks

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5
Q

When is the most dangerous period for pregnant women

A

28 to 32 weeks

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6
Q

Most commonly cause difficulty during pregnancy

A

Valve damage due to Kawasaki Disease or Rheumatic Fever
Congenital anomalies such as ASD or Uncorrected Coarctation of Aorta
Aorta Dilatation
Marfan syndrome

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7
Q

Risk factors in pregnancy

A

Rheumatic Fever
Congenital Heart Defect
Arteriosclerosis
Myocardial Infarction
Pulmonary Disease
Renal Disease
Heart Surgery

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8
Q

Ordinary physical activity “causes no discomfort”

A

Class I / Uncompromised

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9
Q

What classification: during less than ordinary activity, woman experiences excessive fatigue, palpitations, dyspnea, or anginal pain

A

Markedly compromised / Class 3

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10
Q

What classification: ordinary physical activity causes excessive fatigue, palpitation, and dyspnea or anginal pain

A

Slightly compromised / Class 2

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11
Q

What classification: woman is unable to carry out any physical activity without experiencing discomfort.

A

Severely Compromised / Class 4

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12
Q

Pregnant women in the past was “not advised to get pregnant to the increase blood volume and increase work load of the heart”

A

Women with Artificial Valve Prosthesis

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13
Q

What to watch out for SUBCLINICAL BLEEDING/HEMOLYSIS

A
  1. Petechiae
  2. Premature separation of placenta
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14
Q

Women who have this is “usually associated with atherosclerosis or renal disease and usually puts the mother and the fetus at risk”

A

Women with chronic hypertensive vascular disorder

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15
Q

Women with DVT increases with a combination of the ff:

A
  1. Stasis of blood in the lower extremities from uterine pressure
  2. Hypercoagulability
  3. Vessel Damage
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16
Q

What are the risk of developing Deep Vein Thrombosis

A
  1. Spontaneous miscarriage
  2. Fetal death
  3. Hypertension of pregnancy
  4. Anti-phospholipid antibodies / anti-phospholipid syndrome
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17
Q

Sign and symptoms of pulmonary emboli

A

Chest pain
Sudden onset of dyspnea
Hemoptysis
Tachycardia/missed beat
Dizziness
Fainting

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18
Q

Coughing of blood

A

Hemoptysis

19
Q

What are the diagnostic test?

A

ECG
Echocardiography
Echocardiogram

20
Q

Criteria for establishing diagnosis of heart disease

A

Persistent murmur
Permanent cardiomegaly
Severe dysrhythmias
Severe dyspnea

21
Q

Signs of cardiac decompensation

A

Moist cough
Pedal edema
Dyspnea
Tachycardia
Tachypnea
Cyanosis
Chest pain on exertion
Persistent heart murmur

22
Q

A sign of pulmonary edema

A

Pedal edema

23
Q

Other signs

A

Syncope with exertion
Cyanosis
Clubbing of fingers
Cardiomegaly
Neck vein distention
Pulmonary hypertension

24
Q

Safety alert: consists of presence of

A

Severe dyspnea
Syncope with exertion
Hemoptysis
Nocturnal tachycardia
Angina

25
A pregnant women with heart disease should avoid:
Infection Excessive weight gain Edema Anemia
26
How many hours should be the sleep duration for pregnant
8-10 hours at night 2 rest periods during the day
27
Instruct the client to lie down for ______ after meals
30 mins
28
Activity limitation for class?
3 and 4
29
Severly affected clients may need to be admitted as early as ______
Mid-2nd trimester
30
Withhold pr<60 and >100 bpm
Digitalis
31
Potassium secreting?
Diuretics
32
Example of diuretics
Furosemide (Lasix)
33
What to watch for diuretics
Hypokalemia
34
What increases the risk for digitalis toxicity
Hypokalemia
35
Used for any invasive procedure
Antibiotics
36
Treatment of bacterial infection
Antibiotics
37
Prevent/treat anemia
Iron supplements
38
To prevent clot formation with dvt and pulmonary embolism
Anti-coagulant or Heparin/Enoxaparin
39
Example of anticoagulant
Heparin / Enoxaparin
40
Relieves angina by vasodilation
Nitroglycerin
41
When should nitroglycerin be taken
5 mins before effort
42
Take nitroglycerin while _____
Sitting down
43
Nitroglycerin should be replaced every
3 months
44
Help to reduce the formation of additional antibodies in aPLA
Corticosteroid