This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Physiological Changes of Pregnancy, Subject name: Gynaecology & Obstetrics
Which of the following changes in pregnancy needs fuher evaluation ? 
Select and explain. 
A. Ventricular premature contractions, B. 15deg Left Axis Detion, C. Cardiomegaly, D. Mild ST changes in inferior leads
C: Cardiomegaly
Answer: C: Cardiomegaly 
Explanation: Atrial and ventricular premature contractions ,15deg Left Axis Detion and mild ST changes in inferior leads are considered normal during pregnancy. Criteria for diagnosing 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 Persistant tachycardia nd/ or arrythmiaa Persistant split S2 Presence of S4 Findings suggestive of Pulmonary hypeension