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

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Signs of cardiac decompensation include dyspnea;crackles;an irregular,weak,rapid pulse;rapid respirations;a moist,frequent cough;generalized edema;increasing fatigue;and cyanosis of the lips and nailbeds.A regular heart rate and hypertension are not generally associated with cardiac decompensation.Of the symptoms of increased urinary output,tachycardia,and dry cough,only tachycardia is indicative of cardiac decompensation.Of the symptoms of shortness of breath,bradycardia,and hypertension,only dyspnea is indicative of cardiac decompensation.

When Caring for a Pregnant Woman with Cardiac Problems,the Nurse