Chapter 30: Medical-Surgical Disorders
Lowdermilk: Maternity & Women's Health Care, 11th Edition
Exam.
:D
1. 1. When caring for a preg-
Signs of cardiac decompensation include dyspnea; crackles; an
nant woman with cardiac
problems, the nurse must be irregular, weak, and rapid pulse; rapid respirations; a moist
alert for the signs and symp- and frequent cough; generalized edema; increasing fatigue; and
toms of cardiac decompen- cyanosis of the lips and nailbeds. A regular heart rate and hyper-
sation. Which critical find- tension are not generally associated with cardiac decompensa-
ings would the nurse find on tion. Of the symptoms of increased urinary output, tachycardia,
assessment of the client ex- and dry cough, only tachycardia is indicative of cardiac decom-
periencing this condition? pensation. Of the symptoms of shortness of breath, bradycardia,
a. Regular heart rate and hy- and hypertension, only dyspnea is indicative of cardiac decom-
pertension 3. 3. Which information should the nurse
b. Increased urinary output, take into consid-
tachycardia, and dry cough
c. Shortness of breath,
bradycardia, and hyperten-
sion
d. Dyspnea, crackles, and an
irregular, weak pulse
2. 2. Which condition would
require prophylaxis to pre-
vent subacute bacterial en-
docarditis (SBE) both an-
tepartum and intrapartum?
a. Valvular heart disease
b. Congestive heart disease
c. Arrhythmias
d. Postmyocardial infarction
, Chapter 30: Medical-Surgical Disorders
Lowdermilk: Maternity & Women's Health Care, 11th Edition
Exam.
pensation.
DIF: Cognitive Level:
Understand REF: p. 716 TOP:
Nursing Process:
Assessment
:A
Prophylaxis for intrapartum endocarditis and
pulmonary infection may be provided for
women who have mitral valve prolapse.
Prophylaxis for intrapartum endocarditis is not
indicated for a client with congestive heart
disease, underlying arrhythmias, or
postmyocardial infarction.
DIF: Cognitive Level:
Understand REF: p. 712 TOP:
Nursing Process:
Implementation
:B
Bed rest may be ordered, with or without
bathroom privileges.
, Chapter 30: Medical-Surgical Disorders
Lowdermilk: Maternity & Women's Health Care, 11th Edition
Exam.
eration when planning care Bowel movements without stress or strain for the woman are
for a postpartum client with promoted with stool softeners, diet, and fluids. Care of the woman
cardiac disease? with cardiac disease in the postpartum period is tailored to the
a. The plan of care for a post- woman's functional capacity. The woman will be on bed rest to
partum client is the same as conserve energy and to reduce the strain on the heart. Although
the plan for any pregnant the woman may need help caring for the infant, breastfeeding
woman. and infant visits are not contraindicated.
b. The plan of care includes DIF: Cognitive Level: Understand REF: pp. 718-719 TOP: Nursing
rest, stool softeners, and Process: Planning
monitoring of the effect of
activity.
c. The plan of care in-
cludes frequent ambulat-
ing, alternating with active
range-of-motion exercises.
d. The plan of care includes
limiting visits with the infant
to once per day.
4. 4. A woman has experi- :C
enced iron deficiency ane- The nurse should recognize that dark stools are a common side
mia during her pregnancy. ettect in clients who are taking iron replacement therapy. A guaiac
She had been taking iron for test would be indicated if gastrointestinal (GI) bleeding was sus-
3 months before the birth. pected. GI irritation, including dark stools, is also a common side
The client gave birth by ce- ettect of iron therapy. Observation of stool formation is a normal
sarean 2 days earlier and has nursing activity.
been having problems with her back to bed from the bathroom,
constipation. After assisting the nurse notes that the woman's stools
Lowdermilk: Maternity & Women's Health Care, 11th Edition
Exam.
:D
1. 1. When caring for a preg-
Signs of cardiac decompensation include dyspnea; crackles; an
nant woman with cardiac
problems, the nurse must be irregular, weak, and rapid pulse; rapid respirations; a moist
alert for the signs and symp- and frequent cough; generalized edema; increasing fatigue; and
toms of cardiac decompen- cyanosis of the lips and nailbeds. A regular heart rate and hyper-
sation. Which critical find- tension are not generally associated with cardiac decompensa-
ings would the nurse find on tion. Of the symptoms of increased urinary output, tachycardia,
assessment of the client ex- and dry cough, only tachycardia is indicative of cardiac decom-
periencing this condition? pensation. Of the symptoms of shortness of breath, bradycardia,
a. Regular heart rate and hy- and hypertension, only dyspnea is indicative of cardiac decom-
pertension 3. 3. Which information should the nurse
b. Increased urinary output, take into consid-
tachycardia, and dry cough
c. Shortness of breath,
bradycardia, and hyperten-
sion
d. Dyspnea, crackles, and an
irregular, weak pulse
2. 2. Which condition would
require prophylaxis to pre-
vent subacute bacterial en-
docarditis (SBE) both an-
tepartum and intrapartum?
a. Valvular heart disease
b. Congestive heart disease
c. Arrhythmias
d. Postmyocardial infarction
, Chapter 30: Medical-Surgical Disorders
Lowdermilk: Maternity & Women's Health Care, 11th Edition
Exam.
pensation.
DIF: Cognitive Level:
Understand REF: p. 716 TOP:
Nursing Process:
Assessment
:A
Prophylaxis for intrapartum endocarditis and
pulmonary infection may be provided for
women who have mitral valve prolapse.
Prophylaxis for intrapartum endocarditis is not
indicated for a client with congestive heart
disease, underlying arrhythmias, or
postmyocardial infarction.
DIF: Cognitive Level:
Understand REF: p. 712 TOP:
Nursing Process:
Implementation
:B
Bed rest may be ordered, with or without
bathroom privileges.
, Chapter 30: Medical-Surgical Disorders
Lowdermilk: Maternity & Women's Health Care, 11th Edition
Exam.
eration when planning care Bowel movements without stress or strain for the woman are
for a postpartum client with promoted with stool softeners, diet, and fluids. Care of the woman
cardiac disease? with cardiac disease in the postpartum period is tailored to the
a. The plan of care for a post- woman's functional capacity. The woman will be on bed rest to
partum client is the same as conserve energy and to reduce the strain on the heart. Although
the plan for any pregnant the woman may need help caring for the infant, breastfeeding
woman. and infant visits are not contraindicated.
b. The plan of care includes DIF: Cognitive Level: Understand REF: pp. 718-719 TOP: Nursing
rest, stool softeners, and Process: Planning
monitoring of the effect of
activity.
c. The plan of care in-
cludes frequent ambulat-
ing, alternating with active
range-of-motion exercises.
d. The plan of care includes
limiting visits with the infant
to once per day.
4. 4. A woman has experi- :C
enced iron deficiency ane- The nurse should recognize that dark stools are a common side
mia during her pregnancy. ettect in clients who are taking iron replacement therapy. A guaiac
She had been taking iron for test would be indicated if gastrointestinal (GI) bleeding was sus-
3 months before the birth. pected. GI irritation, including dark stools, is also a common side
The client gave birth by ce- ettect of iron therapy. Observation of stool formation is a normal
sarean 2 days earlier and has nursing activity.
been having problems with her back to bed from the bathroom,
constipation. After assisting the nurse notes that the woman's stools
