Master Pregnant Cardiac Patient Interventions with Picmonic for Nursing RN

With Picmonic, facts become pictures. We've taken what the science shows - image mnemonics work - but we've boosted the effectiveness by building and associating memorable characters, interesting audio stories, and built-in quizzing.

Pregnant Cardiac Patient Interventions

Pregnant Heart
Picmonic
The management of the pregnant cardiac client is focused on minimizing stress on the heart, which typically occurs at 28-32 weeks, when blood volume and other hemodynamic changes are at a peak during the pregnancy. The focus of management during labor and birth is on promoting cardiac function and decreasing anxiety.
9 KEY FACTS
PRENATAL
Monitor for Cardiac Decompensation
Monitor for Heart Decomposed

The pregnant woman with cardiac issues should be monitored for cardiac decompensation. This includes assessing edema, heart rate and feeling of palpitations, blood pressure, cardiac output, weight gain, increasing fatigue, frequent cough, and crackles in the lungs.

Stool Softener
Stool with Soft-serve

A stool softener should be considered in order to avoid the pregnant woman from straining during defecation and producing a Valsalva maneuver. This straining, when released, causes a fast influx of blood into the heart, which will overload the pregnant woman’s heart.

Calcium Channel Blockers
Calcium-cow Channel with Blocks

Calcium channel blockers may help the pregnant woman’s heart work more efficiently by decreasing the workload on the heart. However calcium channel blockers will decrease the blood pressure, so the pregnant patient must be watched for hypotension. Hypotension will result in decreased blood flow to the fetus.

LABOR
ECG Monitor
ECG Monitoring

The pregnant woman should be placed on an ECG monitor to assess for tachycardia, a pulse greater than 100 bpm, and the woman should be assessed for irregular rhythms that may signify increased stress and work of the heart.

Open Glottis Pushing
Open Glottis-goddess Pushing

The patient should avoid the Valsalva maneuver during pushing, which is esentially pushing while holding your breath. This is because the Valsalva maneuver reduces diastolic ventricular filling and obstructs left ventricular outflow. Instead open glottis pushing should be used, which is pushing while expelling air through the mouth simultaneously.

Pulmonary Artery Catheter
Lungs Catheter-cat

A pulmonary artery catheter 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
No Beta-fish in Medication-bottle

The pregnant woman with cardiac issues should not be administered beta adrenergic agents, such as terbutaline as these agents may result in a further increased heart rate and irregularity as well as pulmonary edema and myocardial infarctions.

Penicillin Prophylaxis
Pencil-villain and Purple-axes

The pregnant woman with cardiac issues should be placed on prophylactic penicillin to prevent bacterial endocarditis. Labor increases that chances of the woman developing an infection and because of underlying cardiac issues, an infection could not only add extra stress on the heart but an infection could spread to the heart resulting in endocarditis.

POSTPARTUM
Stress on Heart
Stressed Heart

After birth of the fetus, cardiac output rapidly increases due to fluid quickly returning to the vasculature and a decrease in abdominal pressures. This increased flow to the heart causes increased stress on the heart and can quickly lead to cardiac decompensation. Position the woman with the head of the bed elevated and rotate to her side to decrease stress on the heart.

Unlock all 9 facts & definitions with Picmonic Free!

JOIN FREE

Take the Pregnant Cardiac Patient Interventions Quiz

Picmonic's rapid review multiple-choice quiz allows you to assess your knowledge.

START QUIZ NOW

It's worth every penny

Our Story Mnemonics Increase Mastery and Retention

Memorize facts with phonetic mnemonics

Unforgettable characters with concise but impactful videos (2-4 min each)

Ace Your Nursing (RN) Classes & Exams with Picmonic:

Over 870,000 students use Picmonic’s picture mnemonics to improve knowledge, retention, and exam performance.

Choose the #1 Nursing (RN) student study app.

Picmonic for Nursing (RN) covers information that is relevant to your entire Nursing (RN) education. Whether you’re studying for your classes or getting ready to conquer your NCLEX®-RN, Hesi, ATI, TEAS test, Kaplan exams, we’re here to help.

Works better than traditional Nursing (RN) flashcards.

Research shows that students who use Picmonic see a 331% improvement in memory retention and a 50% improvement in test scores.