A client who had rheumatic fever as a child has mitral valve stenosis. She is currently 6 weeks pregnant with her first child and is classified as Class II according to the New York Heart Association functional classification of heart disease in pregnant women. What recommended therapeutic plan can the nurse discuss with this client regarding rest/activity, prevention of infection, nutrition, and bowel elimination to reduce her risk of cardiac decompensation? What physiologic events after birth take place to put this client at risk for cardiac decompensation in the postpartum period?

Biomedical Instrumentation Systems
1st Edition
ISBN:9781133478294
Author:Chatterjee
Publisher:Chatterjee
Chapter17: Instrumentation In Intensive Care Units
Section: Chapter Questions
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A client who had rheumatic fever as a child has mitral valve stenosis. She is currently 6 weeks pregnant with her first child and is classified as Class II according to the New York Heart Association functional classification of heart disease in pregnant women.

  1. What recommended therapeutic plan can the nurse discuss with this client regarding rest/activity, prevention of infection, nutrition, and bowel elimination to reduce her risk of cardiac decompensation?
  2. What physiologic events after birth take place to put this client at risk for cardiac decompensation in the postpartum period?
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