Page 166 - Critical Maternity & Newborn Health Nursing

Follow up activity:

Scenario VII:

A 37-yrs-old woman, gravida, 2; para, 1 presented at 28 weeks

gestation with worsening dyspnea and some lower extremity edema.

Although the woman complained of dyspnea with moderate exertion

before pregnancy. She was now unable to lie flat and even became

dyspneic when speaking. Her symptoms improved with heart rate

control using 25 mg metoprolol orally twice daily. Physical

examination revealed an arterial blood pressure of 101/59 mmHg, a

regular heart rate of 107 beats/min, and a respiratory rate of 22

breaths/min.

Questions 1 to 5 are based on the above scenario

1. List two symptoms from this case that indicate cardiac disease

during pregnancy? (2 marks, one mark for each)

a. …………………………………………………………………………

…………

b. …………………………………………………………………………

……………

2. According to this case, what is the grade of heart disease before

pregnancy (1 mark)? and why (1 mark)?

……………………………………………………………………………

…………...

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