I am reblogging this because someone reblogged this and said this is not true. She said she’s an ICU Nurse. Let me tell you Maam (12 reasons so far …that’s her tumblr name) am glad for the comment but didn’t you notice the word “usually”? It is very different from the word “always”. So please do not brag your being an ICU Nurse my dear.

All of the photos I am posting here is from Mosby Elsevier to help out students and nclex takers tackle nursing exams and such. I have been practicing as a Registered Nurse since 1998 in our country. By the time I got here in the US I needed to pass the NCLEX for me to be able to work as a Nurse here. I am just sharing my study material here hoping to encourage other nursing students especially those who will take the nclex.

NCLEX exam is a textbook exam, it is not always based on the real world of nursing practice.

Cadiovascular Disease in Pregnancy (Rheumatic heart disease, congenital heart defects and mitral valve prolapse account for the greatest incidence of cardiac disease in pregnancy)
Clinical manifestations indicative of cardiac decompensation are those of impending CHF:
- frequent cough, progressive dyspnea
- progressive general edema, jugular vein distention (JVD)
- syncope with exertion
- excessive fatigue for level of activity
- dysrhythmia
- congested breath sounds
- cardiac decompensation increases with length of gestation; highest incidence of CHF is observed at 28 to 32 weeks’ gestation

TREATMENT
Management of the pregnant client
- good nutritional intake; iron supplement; may require decrease in calories to avoid excessive weight gain
- limited physical activity
- sodium and fluids may be limited but not severely restricted
- diuretics and digitalis may be given
- may be hospitalized at 28 to 32 weeks’ gestation because of impending CHF
- if coagulation problems occur, heparin is used because it does not cross the placenta
- prophylactic antibiotics (penicillin) to prevent infection (endocarditis) Cadiovascular Disease in Pregnancy (Rheumatic heart disease, congenital heart defects and mitral valve prolapse account for the greatest incidence of cardiac disease in pregnancy)
Clinical manifestations indicative of cardiac decompensation are those of impending CHF:
- frequent cough, progressive dyspnea
- progressive general edema, jugular vein distention (JVD)
- syncope with exertion
- excessive fatigue for level of activity
- dysrhythmia
- congested breath sounds
- cardiac decompensation increases with length of gestation; highest incidence of CHF is observed at 28 to 32 weeks’ gestation

TREATMENT
Management of the pregnant client
- good nutritional intake; iron supplement; may require decrease in calories to avoid excessive weight gain
- limited physical activity
- sodium and fluids may be limited but not severely restricted
- diuretics and digitalis may be given
- may be hospitalized at 28 to 32 weeks’ gestation because of impending CHF
- if coagulation problems occur, heparin is used because it does not cross the placenta
- prophylactic antibiotics (penicillin) to prevent infection (endocarditis)

Cadiovascular Disease in Pregnancy (Rheumatic heart disease, congenital heart defects and mitral valve prolapse account for the greatest incidence of cardiac disease in pregnancy)

Clinical manifestations indicative of cardiac decompensation are those of impending CHF:
- frequent cough, progressive dyspnea
- progressive general edema, jugular vein distention (JVD)
- syncope with exertion
- excessive fatigue for level of activity
- dysrhythmia
- congested breath sounds
- cardiac decompensation increases with length of gestation; highest incidence of CHF is observed at 28 to 32 weeks’ gestation

TREATMENT
Management of the pregnant client
- good nutritional intake; iron supplement; may require decrease in calories to avoid excessive weight gain
- limited physical activity
- sodium and fluids may be limited but not severely restricted
- diuretics and digitalis may be given
- may be hospitalized at 28 to 32 weeks’ gestation because of impending CHF
- if coagulation problems occur, heparin is used because it does not cross the placenta
- prophylactic antibiotics (penicillin) to prevent infection (endocarditis)