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NCM 109 - Week 2 questions with complete solutions
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NCM 109 - Week 2 questions with complete solutions
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NCM 109 - Week 2 questions with complete solutionscardiopulmonary Correct Answer-Ineffective tissue perfusion (cardiopulmonary) related to poor heart function secondary to mitral valve prolapse during pregnancy
for chronic illness Correct Answer-To maintain woman's health during pregnancy so she can remain at home as long as possible, thereby minimizing hospitalization and family disruptions.
for new illness Correct Answer-Allowing a woman to choose among alternatives to
help her to participate in her own care and also to maintain self-esteem as well as helps her move a step toward parenthood and assuming care for her family
cardiac disease Correct Answer-occurs primarily due to the increase in circulatory volume
28 to 32 weeks, after the blood volume peaks. Correct Answer-The most dangerous time for a woman is in?
Left Sided Heart Failure Correct Answer-Occurs in condition such as mitral stenosis, mitral insufficiency and aortic coarctation
left ventricle left atrium Correct Answer-The _____________________ cannot move the volume of blood forward that is received by the ____________________from the pulmonary circulation
mitral valve Correct Answer-The level for the failure is often at the level of the? atrial contraction Correct Answer-shortens diastole
mitral valve Correct Answer-The inability of the ____________________ to push blood forward causes back-pressure on the pulmonary circulation, causing it to become distended, systemic blood pressure decreases in the face of lowered cardiac output and pulmonary hypotension occurs.
25 mm Hg Correct Answer-When pressure in the pulmonary vein reaches a point of __ mm Hg, fluid begins to pass from the pulmonary capillary membranes into the interstitial spaces surrounding the alveoli and into the alveoli.
Pulmonary Edema Correct Answer-When pressure in the pulmonary vein reaches a
point of 25 mm Hg, fluid begins to pass from the pulmonary capillary membranes into the interstitial spaces surrounding the alveoli and into the alveoli leads to _________________________________
Pulmonary Edema Correct Answer-________________________________ interferes with oxygen-carbon dioxide exchange because fluid coats the alveolar exchange space
blood Correct Answer-If pulmonary capillaries rupture under the pressure, small amounts of ____________ leak into the alveoli
lack of oxygen in the brain Correct Answer-Dizziness is caused by?
Peripheral constriction Correct Answer-occurs in an attempt to increase the systemic BP Paroxysmal nocturnal dyspnea Correct Answer-suddenly waking at night with shortness of breath - occurs because heart action is more effective when she is at rest
Pulmonary edema Correct Answer-orthopneic
Anti hypertensive Correct Answer-Medication to control increased BP
Diuretics Correct Answer-Medication to reduce blood volume
Beta blockers Correct Answer-Medication to improve ventricular filling
low sodium diet Correct Answer-A Woman with Left Sided Heart Failure diet
serial UTZ and non stress test after 30 - 32 weeks of pregnancy and monitor FHR Correct Answer-A Woman with Left Sided Heart Failure medical management
⮚Balloon valve angioplasty to loosen mitral valve adhesions
⮚If an anticoagulant is required, heparin is the drug of choice - it does not cross the placenta Correct Answer-A Woman with Left Sided Heart Failure Surgical Management
A Woman with Right Sided Heart Failure
Causes: Correct Answer-> Congenital heart defects - pulmonary valve stenosis and
atrial and ventricular septal defects
⮚Occurs when the output of the right ventricle is less than the blood volume received by the right atrium from the vena cava
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