What information will the nurse give to a pregnant woman with ...

[Mr.Thesaxman]

What information will the nurse give to a pregnant woman with heart disease regarding her second stage of labor?
 
  a. She will not be able to have any anesthesia.
  b. She will have a cesarean birth if she cannot quickly push the baby out.
  c. She will not be able to receive any analgesia.
  d. She will not be allowed to push.

Question 2

A woman with heart disease has delivered and is now in the postpartum unit. When caring for this woman, the nurse recognizes that:
 
  a. The woman's care needs to be no different from that of any other postpartum patient.
  b. Major circulatory readjustment in the postpartum period may cause heart failure even 4 or 5 days postpartum.
  c. The danger period will end after the first 24 hours postpartum.
  d. The danger period will end after the first 72 hours postpartum.

[atrochim]

Answer to Question 1

ANS: D
The mechanisms involved in pushing place too great a strain on the cardiovascular system at this stage. Forceps or vacuum extraction will be used. Pain and pain responses should be avoided through the use of epidural anesthesia with narcotic medication. Cesarean birth is not recommended, except in the case of an emergency.

Answer to Question 2

ANS: B
During the postpartum period, approximately 4 to 5 days after delivery, decreased peripheral vascular resistance and pulmonary embolism are two major problems that can occur in the woman with heart disease.