Special attention should be given to the prompt recognition and treatment of any signs of heart failure Those in classes 3 & 4 may need to be hospitalized before onset of labor for cardiovascular stabilization. Spontaneous natural labor with adequate pain relief is usually recommended for patients in classes 1 & 2. Depending on the specific lesion, the woman' activity and weight gain may need to be limited. Women in class 1 & 2 usually experience a normal pregnancy Women in class 3 & 4 are at risk for more severe complications which may effects both maternal and fetal outcomes Infection increases cardiac workload, so even minor infections should be treated thoroughly To reduce the risk of pyelonephritis, monthly screening for asymptomatic bacteriuria is indicated As pregnancy progresses it is important to minimize cardiac workload and promote tissue perfusion. A normal uterus, one that's not boggy, feels firm, like a muscle that's being flexed. A boggy uterus is one that has a soft, mushy feel to it. Explain that the increased lochia helps the uterus to drain and to return to its. She must know danger signs so she can spot a problem early and report it to her birth. Measure and record the client's vital signs (see In Practice: Nursing Care. A soft or boggy uterus indicates relaxation of the uterine muscles and is also a.
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