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A 28-year-old multigravida has class II heart disease.

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A 28-year-old multigravida has class II heart disease. At her prenatal visit at 34 weeks’ gestation, all of the following observations are made. Which would require intervention?

A.

Weight gain of 2 kg in 4 weeks

B.

Blood pressure of 128/78

C.

Subjective data: shortness of breath after showering

D.

Ankle edema reported present in late afternoon and evenings

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