The most important instruction to include in a teaching plan for a client in early pregnancy who has Class I heart disease is she:
a. must report any nausea or vomiting.
b. may experience mild fatigue in early pregnancy.
c. must report any chest discomfort or productive cough.
d. should plan to increase her daily exercise gradually throughout pregnancy.
ANS: C
Angina or a productive cough may signal congestive heart failure or pulmonary edema. Nausea and vomiting are expected in early pregnancy. Mild fatigue is expected in early pregnancy. Depending on the severity of the heart disease, the client may need to limit physical activity.
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