Lippincott Antepartal Care Practice Exam

In this scenario, the correct classification for a pregnant client experiencing dyspnea (shortness of breath) and fatigue, while exhibiting normal vital signs, aligns with Class II. The classification system often references the New York Heart Association (NYHA) functional classification, which categorizes patients based on their functional limitations and symptoms.

Class II indicates that the individual has mild symptoms with slight limitations during ordinary physical activity. They may experience fatigue and dyspnea, particularly during activities that would not ordinarily cause such symptoms in healthy individuals. Since the client in question reports dyspnea and fatigue but maintains normal vital signs, this suggests that they can manage most daily activities with some discomfort, fitting the criteria for Class II.

Other classifications, such as Class I, III, and IV, represent varying degrees of functional impairment that would not accurately describe the client's situation. Class I denotes no limitation in physical activity, Class III reflects significant limitations and discomfort with less than ordinary activity, and Class IV indicates that any physical activity exacerbates symptoms even at rest. Therefore, Class II is the most appropriate classification for this client's experience of fatigue and dyspnea.