CMCA EXAM 2024 REAL EXAM QUESTIONS AND
CORRECT ANSWERS(VERIFIED ANSWERS)|A
GRADE
Explain Cardiac Disease r/t Pregnancy
A pregnant client with cardiac disease may be unable physiologically to cope with the
added plasma volume and increased cardiac output that occur during pregnancy.
What are the Physical Changes in CVS Examination?
1. Apex beat at 4th intercostal space lateral to mid clavicular line
2. Straightening of left border heart
3. Loud heart sounds
When CO Starts Arising During Pregnancy?
5th Week
What is Antenatal Period and What Week CO at its Max?
It refers to the 3 trimesters while 28-32 weeks where CO at its max
During Labor, How Much Percentage of CO Added with Each Contraction?
50%
In Immediately Postpartum, How Much Percentage of CO Added?
80%
How Long the CO will Remain High After Delivery? What are the Considerations
for Mothers in the ICU?
24-48 hours. Early monitoring of CO
When will CO Return to Normal?
10 days
What are the Effect of Maternal Heart Disease on Fetus and its Causes? Explain.
1. Preterm delivery
2. Fetal growth restriction
3. Intrauterine fetal death
4. Risk of congenital heart disease
What are the Labor and Delivery Consideration?
1. Induction of labor is not contraindicated
2. Augmentation of oxytocin except for HIV patients
3. Kept propped up
4. Left lateral position or High Fowler Position
5. Pulse Oximetry
6. Oxygen by bedside (1-6L/min Nasal Cannula)
7. Restrict IV fluids
NEW YORK HEART ASSOCIATION FUNCTIONAL CLASSIFICATION OF HEART
DISEASE
Uncompromised. No limitation of physical activity.
Asymptomatic with ordinary activity.
Class I
NEW YORK HEART ASSOCIATION FUNCTIONAL CLASSIFICATION OF HEART
DISEASE
Slightly compromised, requiring slight limitation of physical activity.
CORRECT ANSWERS(VERIFIED ANSWERS)|A
GRADE
Explain Cardiac Disease r/t Pregnancy
A pregnant client with cardiac disease may be unable physiologically to cope with the
added plasma volume and increased cardiac output that occur during pregnancy.
What are the Physical Changes in CVS Examination?
1. Apex beat at 4th intercostal space lateral to mid clavicular line
2. Straightening of left border heart
3. Loud heart sounds
When CO Starts Arising During Pregnancy?
5th Week
What is Antenatal Period and What Week CO at its Max?
It refers to the 3 trimesters while 28-32 weeks where CO at its max
During Labor, How Much Percentage of CO Added with Each Contraction?
50%
In Immediately Postpartum, How Much Percentage of CO Added?
80%
How Long the CO will Remain High After Delivery? What are the Considerations
for Mothers in the ICU?
24-48 hours. Early monitoring of CO
When will CO Return to Normal?
10 days
What are the Effect of Maternal Heart Disease on Fetus and its Causes? Explain.
1. Preterm delivery
2. Fetal growth restriction
3. Intrauterine fetal death
4. Risk of congenital heart disease
What are the Labor and Delivery Consideration?
1. Induction of labor is not contraindicated
2. Augmentation of oxytocin except for HIV patients
3. Kept propped up
4. Left lateral position or High Fowler Position
5. Pulse Oximetry
6. Oxygen by bedside (1-6L/min Nasal Cannula)
7. Restrict IV fluids
NEW YORK HEART ASSOCIATION FUNCTIONAL CLASSIFICATION OF HEART
DISEASE
Uncompromised. No limitation of physical activity.
Asymptomatic with ordinary activity.
Class I
NEW YORK HEART ASSOCIATION FUNCTIONAL CLASSIFICATION OF HEART
DISEASE
Slightly compromised, requiring slight limitation of physical activity.
