A client who had rheumatic fever as a child has mitral valve stenosis. She is currently 6 weeks pregnant with her first child and is classified as Class II according to the New York Heart Association functional classification of heart disease in pregnant women. What recommended therapeutic plan can the nurse discuss with this client regarding rest/activity, prevention of infection, nutrition, and bowel elimination to reduce her risk of cardiac decompensation? What physiologic events after birth take place to put this client at risk for cardiac decompensation in the postpartum period?

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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A client who had rheumatic fever as a child has mitral valve stenosis. She is currently 6 weeks pregnant with her first child and is classified as Class II according to the New York Heart Association functional classification of heart disease in pregnant women.

  1. What recommended therapeutic plan can the nurse discuss with this client regarding rest/activity, prevention of infection, nutrition, and bowel elimination to reduce her risk of cardiac decompensation?
  2. What physiologic events after birth take place to put this client at risk for cardiac decompensation in the postpartum period?
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