During a prenatal education class, an expectant mother tells the ...

[aabwk4]

During a prenatal education class, an expectant mother tells the group about a friend whose blood pressure became so high during pregnancy that she had to be admitted to hospital.
 
  Which of the following statements should the nurse include in response to this?
  A)
  A large increase in blood pressure is a normal part of the changes in blood circulation that accompany pregnancy.
  B)
  By avoiding salt, staying active, and minimizing weight gain, you can prevent this during your pregnancy.
  C)
  Essentially, experts don't really know why so many pregnant women develop high blood pressure.
  D)
  I'm sure this was hard for your friend, but rest assured that it won't affect your baby even if it affects you.

Question 2

A 31-year-old African American female who is in her 30th week of pregnancy has been diagnosed with peripartum cardiomyopathy.
 
  Which of the following statements best captures an aspect of peripartum cardiomyopathy?
  A)
  Her diagnosis might be attributable to a disordered immune response, nutritional factors, or infectious processes.
  B)
  Treatment is possible in postpartum women, but antepartum women are dependent on spontaneous resolution of the problem.
  C)
  Mortality exceeds 50, and very few surviving women regain normal heart function.
  D)
  Symptomatology mimics that of stable angina and is diagnosed and treated similarly.

[wergv]

Answer to Question 1

Ans:
C

Feedback:

The root causes of pregnancy-induced hypertension are not known. It is pathological rather than normal, however, and it cannot necessarily be avoided by lifestyle modifications. It can be pernicious to both the mother and the fetus.

Answer to Question 2

Ans:
A

Feedback:

Immune responses, diet, and infections are all potential etiologies of peripartum cardiomyopathy. Treatment is complicated, but not impossible, in antepartum women due to possible teratogenic drug effects. About half of women suffer long-term effects on cardiac function, while signs and symptoms are similar to those of early heart failure.

[aabwk4]

Thank you

[wergv]

Happy to help you