Marfan syndrome is an autosomal dominant genetic disorder that displays as weakness of the connective tissue,joint deformities,ocular dislocation,and weakness of the aortic wall and root.While providing care to a client with Marfan syndrome during labor,the nurse must determine which of the following interventions should be completed first:

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Because of the potential for cardiac involvement during the third trimester and postpartally,treatment with prophylactic antibiotics is highly recommended.Beta-blockers and restricted activity are recommended as treatment modalities earlier in the pregnancy.Regional anesthesia is well tolerated by clients with Marfan syndrome;however,it is not essential to care.Adequate labor support may be all that is necessary if an epidural is not part of the woman's birth plan.Surgery for cardiovascular changes such as mitral valve prolapse,aortic regurgitation,root dilation,or dissection may be necessary.Mortality rates may be as high as 50% in women who have severe cardiac disease.

Marfan Syndrome Is an Autosomal Dominant Genetic Disorder That Displays