While evaluating the hea of a 29-year old primigravida at term you notice that there is S2 & S3 which are easily audible and a systolic ejection murmur greater during inspiration, you immediately recognize that...: (A) The presence of S3 is abnormal, (B) The systolic ejection murmur is unusual in a pregnant woman at term, (C) Wide pulse pressure is rare in pregnant women, (D) All findings recorded are normal changes in pregnancy
Answer is D. In Pregnancy Hea rate increases by about 10 to 15/min. Exaggerated splitting of the first hea sound Increased loudness of both S1& S2 components, A loud easily heard S3 >95% develop systolic murmur which disappears after delivery. 20% have a transient diastolic murmur. 10% develop continous murmur due to increase mammary blood flow.