While educating the client with class II cardiac disease, at 28 weeks' gestation, the nurse instructs the client to notify the physician if she experiences which of the following conditions?
a. Emotional stress at workb. Increased dyspnea while restingc. Mild pedal and ankle edemad. Weight gain of 1 pound in 1 week
ANS: b
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a. Emotional stress increases cardiac workload; however, without symptoms of cardiac decompensation, this is not immediately concerning.
b. Increasing dyspnea, at rest, can be a sign of cardiac decompensation leading to increased congestive heart failure.
c. Mild edema during the third trimester is normal. However, increasing edema and pitting edema should be reported as they can be a sign of increasing CHF.
d. A weight gain of 1 pound per week is expected during the third trimester.
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