This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Medical Illness Complicating Pregnancy, Subject name: Gynaecology & Obstetrics
Metcalfe's Criteria is used for: 
Select and explain. 
A. Assessing risk of maternal moality in pregnancy, B. Grading congenital valvular hea diseases in pregnancy, C. Findings suggestive of hea disease in pregnancy, D. Classifying various cardiomyopathies
C: Findings suggestive of hea disease in pregnancy
Answer: C: Findings suggestive of hea disease in pregnancy 
Explanation: Metcalfe's Criteria for Hea Disease in Pregnancy (Finding Suggestive of Hea Disease in Pregnancy) Symptoms Progressive dyspnea or ohopnea Nocturnal cough Hemoptysis Syncope Chest pain Clinical Findings Cyanosis Clubbing of fingers Persistent neck vein distention Systolic murmur grade 3/6 or greater Diastolic murmur Cardiomegaly Persistent split-second sound Criteria for pulmonary hypeension Persistent arrhythmias Atrial and ventricular premature contractions, 15deg Left Axis Detion and mild ST changes in inferior leads are considered normal during pregnancy.