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

question 26

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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:


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