The Nurse Is Reviewing Prenatal Charts

The nurse is reviewing prenatal charts. A patient at 24 weeks' gestation has a history of class II heart disease secondary to rheumatic fever. What would the nurse expect to see in the chart?

A) Dyspnea and chest pain with mild exertion
B) Elective cesarean birth scheduled for 37 weeks
C) Discussed need for labor epidural and vacuum extraction
D) Respiratory rate 28, pulse 110, 3+ pre-tibial edema bilaterally