Author Question: The nurse is reviewing prenatal charts. A patient at 24 weeks' gestation has a history of class II ... (Read 38 times)

SGallaher96 · **on:** Jun 27, 2018

The nurse is reviewing prenatal charts. A patient at 24 weeks' gestation has a history of class II heart disease secondary to rheumatic fever. What would the nurse expect to see in the chart?

1. Dyspnea and chest pain with mild exertion
2. Elective cesarean birth scheduled for 37 weeks
3. Discussed need for labor epidural and vacuum extraction
4. Respiratory rate 28, pulse 110, 3+ pre-tibial edema bilaterally

Question 2

During an assessment of a 12-hour-old newborn, the nurse notices pale pink spots on the nape of the neck. The nurse documents this finding as which of the following?

1. Nevus vasculosus
2. Nevus flammeus
3. Telangiectatic nevi
4. A Mongolian spot

Bsand8 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

3
Rationale 1: Dyspnea and angina with mild exertion are not expected with class II heart disease even during pregnancy, but are symptoms seen in class IV heart disease.
Rationale 2: Cesarean birth is undertaken only for cardiac patients for fetal or maternal intrapartal indications, not for cardiac reasons alone.
Rationale 3: Lumbar epidural analgesia decreases the stress response during labor, while vacuum extraction or forceps decreases maternal pushing efforts. Both of these decrease stress on the heart during birth.
Rationale 4: 3+ pre-tibial edema is never an expected finding during pregnancy. Pulse over 100 and respiratory rate over 24 are indicators of cardiac decompensation.

Answer to Question 2

3
Explanation: 3. Telangiectatic nevi (stork bites) appear as pale pink or red spots and are frequently found on the eyelids, nose, lower occipital bone, and nape of the neck.