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?

Understanding Health Insurance: A Guide to Billing and Reimbursement
14th Edition
ISBN:9781337679480
Author:GREEN
Publisher:GREEN
Chapter9: Cms Reimbursement Methodologies
Section: Chapter Questions
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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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