A 28-year-old multigravida has class II heart disease. At her prenatal visit at 34 weeks' gestation, all of the following observations are made. Which would require intervention?

The correct answer is C. Subjective data: shortness of breath after showering. (A) This is not an excessive weight gain indicative of fluid retention. (B) The blood pressure is within normal range. (C) Showering should not cause shortness of breath. This could be a sign ofcardiacdecompensation. (D) Dependent ankle edema is normal late in the day among…

Physiological Integrity: Physiological Adaptation

Question

Options

AWeight gain of 2 kg in 4 weeks
BBlood pressure of 128/78
CSubjective data: shortness of breath after showering
DAnkle edema reported present in late afternoon and evenings

How the community answered

(26 responses)

A
12% (3)
B
15% (4)
C
69% (18)
D
4% (1)

Explanation

(A) This is not an excessive weight gain indicative of fluid retention. (B) The blood pressure is within normal range. (C) Showering should not cause shortness of breath. This could be a sign ofcardiacdecompensation. (D) Dependent ankle edema is normal late in the day among pregnant women. Progressive edema would be a dangerous development.

Topics

#cardiac disease in pregnancy#class II heart disease#cardiac decompensation#prenatal assessment

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