Question

When caring for a pregnant woman with cardiac problems, the nurse must be alert for signs and symptoms of cardiac decompensation (congestive heart failure), which include:

A. Increased urinary output
B. Decreased respiratory rate
C. Peripheral edema
D. Hypertension

Answer 1

The most direct symptom of cardiac decompensation in a pregnant woman with cardiac problems among the given options is peripheral edema.

Step-by-step explanation:

When caring for a pregnant woman with cardiac problems, it is crucial for the nurse to be vigilant for signs and symptoms of cardiac decompensation, such as congestive heart failure. The symptoms of congestive heart failure in women of childbearing age can include breathlessness on exertion, giddiness, and skin pallor. Peripheral edema, which may present as swelling of the ankles, is one of the indicative signs of cardiac decompensation in a pregnant woman. Pregnancy-induced hypertension is another concern, due to fluid overload and increased production of vasoactive hormones. However, among the options provided, peripheral edema is the most directly correlated symptom to cardiac decompensation.