Chapter 30- Medical-Surgical Disorders LowdermilkMaternity & Women's Health Care, 11th Edition
(Updated Solution A+ Grade)
1. When caring for a
... [Show More] pregnant woman with cardiac problems, the nurse must be alert for
the signs and symptoms of cardiac decompensation. Which critical findings would the
nurse find on assessment of the client experiencing this condition?
a. Regular heart rate and hypertension
b. Increased urinary output, tachycardia, and dry cough
c. Shortness of breath, bradycardia, and hypertension
d. Dyspnea, crackles, and an irregular, weak pulse - ANS-: D
Signs of cardiac decompensation include dyspnea; crackles; an irregular, weak, and
rapid pulse; rapid respirations; a moist and frequent cough; generalized edema;
increasing fatigue; and cyanosis of the lips and nailbeds. A regular heart rate and
hypertension are not generally associated with cardiac decompensation. Of the
symptoms of increased urinary output, tachycardia, and dry cough, only tachycardia is
indicative of cardiac decompensation. Of the symptoms of shortness of breath,
bradycardia, and hypertension, only dyspnea is indicative of cardiac decompensation.
DIF: Cognitive Level: Understand REF: p. 716
TOP: Nursing Process: Assessment
2. Which condition would require prophylaxis to prevent subacute bacterial endocarditis
(SBE) both antepartum and intrapartum?
a. Valvular heart disease
b. Congestive heart disease
c. Arrhythmias
d. Postmyocardial infarction - ANS-: A
Prophylaxis for intrapartum endocarditis and pulmonary infection may be provided for
women who have mitral valve prolapse. Prophylaxis for intrapartum endocarditis is not
indicated for a client with congestive heart disease, underlying arrhythmias, or
postmyocardial infarction.
DIF: Cognitive Level: Understand REF: p. 712
TOP: Nursing Process: Implementation
3. Which information should the nurse take into consideration when planning care for a
postpartum client with cardiac disease?
a. The plan of care for a postpartum client is the same as the plan for any pregnant
woman.
b. The plan of care includes rest, stool softeners, and monitoring of the effect of activity.
c. The plan of care includes frequent ambulating, alternating with active range-of-motion
exercises.
d. The plan of care includes limiting visits with the infant to once per day. - ANS-: B
Bed rest may be ordered, with or without bathroom privileges. Bowel movements
without stress or strain for the woman are promoted with stool softeners, diet, and fluids.
Care of the woman with cardiac disease in the postpartum period is tailored to the
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