A 21-Year-Old at 12 Weeks' Gestation with Her First Baby

Multiple Choice

A 21-year-old at 12 weeks' gestation with her first baby has known cardiac disease, class III, as a result of childhood rheumatic fever. During a prenatal visit, the nurse reviews the signs of cardiac decompensation with her. The nurse will know that the patient understands these signs and symptoms if she states, "I would notify my doctor if I had:

A) "A pulse rate increase of 10 beats per minute."
B) "Breast tenderness."
C) "Mild ankle edema."
D) "A frequent cough."