When caring for a pregnant woman with cardiac problems, the nurse ...

[EY67]

When caring for a pregnant woman with cardiac problems, the nurse must be alert for signs and symptoms of cardiac decompensation, which are:
 
  1. a regular heart rate and hypertension.
  2. an increased urinary output, tachycardia, and dry cough.
  3. shortness of breath, bradycardia, and hypertension.
  4. dyspnea, crackles, and an irregular, weak pulse.

Question 2

A woman tells her nurse she is worried about the blotchy, brownish coloring over her cheeks, nose, and forehead.
 
  The nurse can reassure her that this is a normal condition related to hor-monal change, commonly called the mask of pregnancy, or scientifically: 1. chloasma.
  2. linea nigra.
  3. striae gravidarum.
  4. palmar erythema.

[af]

Answer to Question 1

4
1. Incorrect. These symptoms are not generally associated with cardiac decompensation.
2. Incorrect. Of these symptoms, only tachycardia is indicative of cardiac decompensation.
3. Incorrect. Of these symptoms, only shortness of breath is indicative of cardiac decom-pensation.
4. Correct. Dyspnea, crackles, and irregular weak, rapid pulse, rapid respirations, moist frequent cough, generalized edema, increasing fatigue, and cyanosis of lips and nailbeds are signs of cardiac decompensation.

Answer to Question 2

1
1. Correct. Chloasma, the mask of pregnancy, usually fades after birth.
2. Incorrect. Linea nigra is a pigmented line running vertically up the abdomen. Chloasma, the mask of pregnancy, usually fades after birth.
3. Striae gravidarum are also known as stretch marks.. Chloasma, the mask of pregnancy, usually fades after birth.
4. Palmar erythema are pinkish red blotches on the hands. Chloasma, the mask of preg-nancy, usually fades after birth.

[EY67]

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