Question

A client at 28 weeks' gestation with previously diagnosed mitral valve stenosis is being evaluated in the clinic. Which sign or symptom indicates that the client is experiencing cardiac difficulties?

1 Systolic murmur
2 Heart palpitations
3 Syncope on exertion
4 Displaced apical pulse

Answer 1

2. Heart palpitations, 3. syncope on exertion, and 4. displaced apical pulse are signs that a client with mitral valve stenosis may be experiencing cardiac difficulties.

Step-by-step explanation:

When evaluating a client with previously diagnosed mitral valve stenosis, certain signs and symptoms indicate that the client is experiencing cardiac difficulties.

1. Heart palpitations can indicate irregular heartbeat and potential cardiac issues.
2. Syncope on exertion, which means fainting or loss of consciousness during physical activity, is a sign of inadequate blood flow to the brain and can be related to cardiac difficulties.
3. Displaced apical pulse, where the point of maximum impulse is not in the normal location, can suggest cardiac abnormalities.

It is important for the client to be evaluated by a healthcare professional to determine the best course of action and management.