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CHN with Maam Pepito > Cardiovascular disorder in pregnancy > Flashcards

Cardiovascular disorder in pregnancy Flashcards

1
Q

What is the percentage of pregnancies complicated by cardiovascular disease?

A

1%

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2
Q

What is the percentage of maternal deaths caused by cardiovascular disorders

A

5%

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3
Q

What are the 4 types of heart disease?

A

Class 1
Class 2
Class 3
Class 4

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4
Q

In class 1 heart disease does normal physical activities cause discomfort?

A

No

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5
Q

What is the expected experience of pregnancy for class 1 heart disease in mothers?

A

normal pregnancy and birth

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6
Q

Is there any symptoms of cardiac insufficiency and anginal pain in class 1 heart disease?

A

No symptoms

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7
Q

What is the level of compromise for class 2 heart disease?

A

slightly compromised

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8
Q

What is the expected experience of pregnancy for class 2 heart disease in mothers?

A

normal pregnancy and birth

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9
Q

Ordinary physical activity can cause what to a mother with class 2 heart disease

A

excessive fatigue
palpitation
dyspnea or anginal pain

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10
Q

What is the level of compromise for class 3 heart disease?

A

Markedly compromise

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11
Q

What kind of physical activity can cause a woman to experience excessive fatigue, palpitations and dyspnea in class 3 heart disease?

A

less than ordinary activity

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12
Q

Which class causes woman to experience excessive fatigue, palpitations, and dyspnea during less than ordinary activity?

A

class 3

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13
Q

Which class causes woman to experience excessive fatigue, palpitations, and dyspnea during ordinary activity?

A

class 2

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14
Q

What is the level of compromise for class 4 heart disease?

A

Severely compromised

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15
Q

Which category of heart disease will the mother be uncompromised?

A

class 1

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16
Q

Which category of heart disease will the mother be

slightly compromised?

A

class 2

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17
Q

Which category of heart disease will the mother be markedly compromised?

A

class 3

18
Q

Which category of heart disease will the mother be severely compromised?

A

class 4

19
Q

Which class will the woman be unable to carry out any physical activity because of discomfort?

A

class 4

20
Q

Why are mothers with class 4 heart disease poor candidates for pregnancy?

A

they are in cardiac failure even at rest even when they arent pregnant

21
Q

Which class is advised to avoid pregnancy?

A

class 4

22
Q

List 5 predisposing factors of mothers with heart disease

A 
Smoking
Diabetes
High BP
High blood cholesterol
lack of exercise
being obese
Stress
alcohol
23
Q

What are the preventions of heart disease?

A 
eating healthy
maintain a healthy weight
exercising regularly
not smoking
limiting alcohol use
24
Q

What are the types of cardiac diseases?

A

Left sided heart failure

Right sided heart failure

25
Q

What is the cause for left sided heart failure?

A

The left ventricle cannot move blood forward

26
Q

What does left sided heart failure cause?

A

It causes back pressure on pulmonary circulation, which causes distention and pulmonary hypertension

27
Q

What is lowered due to left sided heart failure?

A

Systemic BP is decreased due to the lowered cardiac output

28
Q

What are the signs and symptoms for left sided heart failure? (name at least 4)

A 
Dyspnea
productive cough with speckled sputum
increased RR
Increased HR
fatigue, weakness, dizziness
orthopnea
Paroxysmal nocturnal dypnea
29
Q

Why is Dyspnea a sign and symptom of left sided heart failure?

A

Because of pulmonary edema

30
Q

Why s a productive cough with blood speckled sputum a sign and symptom of left sided heart failure?

A

Due to small amounts of blood leaking into the alveoli

31
Q

What is Orthopnea?

A

When you sleep with an elevated chest and head

32
Q

What is the cause for right sided heart failure?

A

The output of the right ventricle is less than blood volume received

33
Q

What are the signs and symptoms of right sided heart failure?

A

Dyspnea and pain
Ascites
Peripheral edema

34
Q

What are the complications for the mother with cardiac disease?

A

Spontaneous miscarriage
preterm labor
maternal death

35
Q

What are the complications for the fetus with cardiac disease?

A

low birth weight

fetal death

36
Q

What can you do to manage cardiac disease during labor and birth?

A

Monitor fetal heart rate
Monitor uterine contractions
Advise side lying position
Administer O2

37
Q

What is the drug of choice to use with mothers with cardiac disease during labor?

A

epidural an anesthetic

38
Q

What can you do to manage cardiac disease during postpartum?

A

Administer anticoagulant (heparin) and digoxin therapy until circulation stabilizes

39
Q

What are diagnostic tests to do for mothers with cardiac problems?

A

Electrocardiogram
Echocardiography
Chest x ray exam

40
Q

What is an electrocardiogram

A

It detects the hearts electrical activity

41
Q

What is an echocardiography?

A

uses sound waves to create a moving picture of heart

CHN with Maam Pepito (10 decks)

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