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Interventions for a pregnant cardiac patient&nbsp;are focused on minimizing stress on the heart and you can remember the key facts by the pregnant heart going through her day as normal until her heart gets overworked. During the prenatal stage, the woman should be monitored for cardiac decompensation, shown by the monitor assessing the decomposed heart. Giving a stool softener, shown by the stool with some soft-serve, should be considered in order to prevent straining, which could produce a Valsalva maneuver. This straining, when released, causes a fast influx of blood into the heart, overloading it. Additionally, calcium channel blockers, shown by the calcium cows channel blocked, may help the pregnant woman’s heart work more efficiently by decreasing the workload on the heart. During labor, the pregnant woman should be placed on an ECG monitor, shown by the ECG monitor with his electrodes in place monitoring the pregnant heart. The open glottis-goddess is pushing to signify that open glottis pushing should be used and NOT the Valsalva maneuver. A pulmonary artery catheter, shown by the lungs catheter-cat, may be inserted into the pregnant woman in order to carefully monitor the pressures within the pulmonary artery to assess for any hemodynamic changes. No beta-adrenergic medications should be administered, represented by the no beta-fish on medication-bottle, as these agents may result in a further increased heart rate and irregularity as well as pulmonary edema and myocardial infarctions. The pregnant woman with cardiac issues may be placed on prophylactic penicillin to prevent bacterial endocarditis, shown by the pencil-villain with purple-axes. After birth of the fetus, there is increased stress on the heart as fluid quickly returns to the vasculature, shown by the stressed heart running away. Position the woman with the head of the bed elevated and rotate onto her side to decrease stress on the heart.&nbsp;So let’s review interventions for the pregnant cardiac patient. During the prenatal stage, monitor for cardiac decompensation, give a stool softener, and administer calcium channel blockers. During labor, place an ECG monitor, advise open glottis pushing, place a pulmonary artery catheter, do not give beta-adrenergic medications, and consider prophylactic penicillin. Postpartum, be aware of increased stress on the heart.&nbsp;

educational

story

pregnant heart.png

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Pregnant Heart

Pregnant Cardiac Patient Interventions

Prenatal

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Monitor for Heart Decomposed

Monitor for Cardiac Decompensation

Prenatally, what aspect of care is most important for a pregnant patient who has a cardiac pathology?

stool with soft serve.png

Stool with Soft-serve

Stool Softener

Prenatally, what intervention or treatment is most important for a pregnant patient who has a cardiac pathology?

calcium cows channel blocked.png

Calcium Cows Channel Blocked

Calcium Channel Blockers

Labor 

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ECG Monitoring

ECG Monitor

During labor, what diagnostic tool or maneuver is most important for a pregnant patient who has a cardiac pathology?

open glottis goddess pushing.png

Open Glottis-goddess Pushing

Open Glottis Pushing

During labor, what diagnostic tool, maneuver, or intervention is most important for a pregnant patient who has a cardiac pathology?

lungs catheter cat.png

Lungs Catheter-cat

Pulmonary Artery Catheter

no beta fish in medication bottle.png

No Beta-fish in Medication-bottle

No Beta-Adrenergic Medications

pencil villain and purple axes.png

Pencil-villain and Purple-axes

Penicillin Prophylaxis

Postpartum

stressed heart.png

Stressed Heart

Stress on Heart

Regarding the mother, what variable is most likely to increase immediately post-partum?

Family Nurse Practitioner Certification Intensive Review 2nd Edition, Leik

Maternity and Women's Health Care, 11th Edition (Elsevier)

The educational audio for this Picmonic was remastered for academic accuracy and overall quality.

Just as a Pregnant-heart is about to pop, she decides to have a relaxing day out. But all of the sudden, Her Monitor caught some activity on her Decomposed Heart. It had come to life and hopped out of her chest. This really put a damper on her day, as she was really looking forward to having Stool’s world famous creamy Soft-serve. It served fresh from this Calcium Cows Channels Blocked farm. However, now with her heart on the lamb, she goes into labor. At the hospital, an ECG Monitor welcomes her with 5 open arms as the Open Glottis-goddess Pushed her gurney into the delivery room as fast as she could. Poor Heart’s lungs could hardly take the pressure so Catheter-cat relieved her with his tail, however, being the curious car he is, he was easily distracted by the No Beta-fish in the Medication-bottle rolling on the ground. With everyone’s attention on the mother-to-be and the makeshift cat toy, they almost didn’t the mischievous little decomposed heart on the run; everyone but Pencil-villain with his Purple-axes. He chased off that Stressed Heart and made sure the delivery went on safety.

Encourage the use of the Valsalva maneuver during pushing.

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Picmonic NCLEX Question of the Day 02/20/2021

Picmonic NCLEX® Question of the Day

A 36-year-old woman is in labor on the obstetrics unit, and she has explains to the nurse, "My heart is no good. I've had cardiac issues before." What are some interventions that the nurse might expect with this patient? Select all that apply:

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