Which instructions should the nurse include when teaching a ...

[joesmith1212]

Which instructions should the nurse include when teaching a pregnant client with Class II heart disease?
 
  a. Advise her to gain at least 30 pounds.
  b. Instruct her to avoid strenuous activity.
  c. Inform her of the need to limit fluid intake.
  d. Explain the importance of a diet high in calcium.

Question 2

The most important instruction to include in a teaching plan for a client in early pregnancy who has Class I heart disease is she:
 
  a. must report any nausea or vomiting.
  b. may experience mild fatigue in early pregnancy.
  c. must report any chest discomfort or productive cough.
  d. should plan to increase her daily exercise gradually throughout pregnancy.

[zoeyesther]

Answer to Question 1

ANS: B
Activity may need to be limited so that cardiac demand does not exceed cardiac capacity. Weight gain should be kept at a minimum with heart disease. Iron and folic acid are important to prevent anemia. Fluid intake is necessary to prevent fluid deficits. Fluid intake should not be limited during pregnancy. The client may also be put on a diuretic.

Answer to Question 2

ANS: C
Angina or a productive cough may signal congestive heart failure or pulmonary edema. Nausea and vomiting are expected in early pregnancy. Mild fatigue is expected in early pregnancy. Depending on the severity of the heart disease, the client may need to limit physical activity.