\documentclass[10pt,a4paper]{article}

% Packages
\usepackage{fancyhdr}           % For header and footer
\usepackage{multicol}           % Allows multicols in tables
\usepackage{tabularx}           % Intelligent column widths
\usepackage{tabulary}           % Used in header and footer
\usepackage{hhline}             % Border under tables
\usepackage{graphicx}           % For images
\usepackage{xcolor}             % For hex colours
%\usepackage[utf8x]{inputenc}    % For unicode character support
\usepackage[T1]{fontenc}        % Without this we get weird character replacements
\usepackage{colortbl}           % For coloured tables
\usepackage{setspace}           % For line height
\usepackage{lastpage}           % Needed for total page number
\usepackage{seqsplit}           % Splits long words.
%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
\usepackage{amsmath}            % Symbols
\usepackage{MnSymbol}           % Symbols
\usepackage{wasysym}            % Symbols
%\usepackage[english,german,french,spanish,italian]{babel}              % Languages

% Document Info
\author{ihh (aaah)}
\pdfinfo{
  /Title (nursing-care-of-the-high-risk-pregnant-client.pdf)
  /Creator (Cheatography)
  /Author (ihh (aaah))
  /Subject (NURSING CARE  OF THE  HIGH-RISK  PREGNANT  CLIENT Cheat Sheet)
}

% Lengths and widths
\addtolength{\textwidth}{6cm}
\addtolength{\textheight}{-1cm}
\addtolength{\hoffset}{-3cm}
\addtolength{\voffset}{-2cm}
\setlength{\tabcolsep}{0.2cm} % Space between columns
\setlength{\headsep}{-12pt} % Reduce space between header and content
\setlength{\headheight}{85pt} % If less, LaTeX automatically increases it
\renewcommand{\footrulewidth}{0pt} % Remove footer line
\renewcommand{\headrulewidth}{0pt} % Remove header line
\renewcommand{\seqinsert}{\ifmmode\allowbreak\else\-\fi} % Hyphens in seqsplit
% This two commands together give roughly
% the right line height in the tables
\renewcommand{\arraystretch}{1.3}
\onehalfspacing

% Commands
\newcommand{\SetRowColor}[1]{\noalign{\gdef\RowColorName{#1}}\rowcolor{\RowColorName}} % Shortcut for row colour
\newcommand{\mymulticolumn}[3]{\multicolumn{#1}{>{\columncolor{\RowColorName}}#2}{#3}} % For coloured multi-cols
\newcolumntype{x}[1]{>{\raggedright}p{#1}} % New column types for ragged-right paragraph columns
\newcommand{\tn}{\tabularnewline} % Required as custom column type in use

% Font and Colours
\definecolor{HeadBackground}{HTML}{333333}
\definecolor{FootBackground}{HTML}{666666}
\definecolor{TextColor}{HTML}{333333}
\definecolor{DarkBackground}{HTML}{D1D1D1}
\definecolor{LightBackground}{HTML}{F3F3F3}
\renewcommand{\familydefault}{\sfdefault}
\color{TextColor}

% Header and Footer
\pagestyle{fancy}
\fancyhead{} % Set header to blank
\fancyfoot{} % Set footer to blank
\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
    \SetRowColor{DarkBackground}
    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
    }
\end{tabulary}
\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{NURSING CARE  OF THE  HIGH-RISK  PREGNANT  CLIENT Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{ihh (aaah)} via \textcolor{DarkBackground}{\uline{cheatography.com/198550/cs/42018/}}}
\end{tabulary}
\end{multicols}}

\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}ihh (aaah) \\
  \uline{cheatography.com/aaah} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 21st January, 2024.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}}  \\
  \SetRowColor{white}
  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\end{multicols}}




\begin{document}
\raggedright
\raggedcolumns

% Set font size to small. Switch to any value
% from this page to resize cheat sheet text:
% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.

\begin{multicols*}{2}

\begin{tabularx}{8.4cm}{x{3.76 cm} x{4.24 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{HIGH-RISK  PREGNANT  CLIENT}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{cardiovascular or kidney disease}} & \{\{fa-bolt\}\} chronic \{\{nl\}\}  \{\{fa-bolt\}\} both can be at risk \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
{\bf{close observation}} & \{\{fa-bolt\}\} Nursing care for a woman \{\{nl\}\}  \{\{fa-bolt\}\} danger signs to watch \tn 
% Row Count 7 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{High-Risk Pregnancy}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{\{\{fa-bolt\}\} concurrent disorder➯jeopardizes health} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{} \tn 
% Row Count 2 (+ 0)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{{\bf{particular circumstances}} \newline \{\{fa-bolt\}\}enter pregnancy with a chronic illness  \{\{nl\}\}  \{\{fa-bolt\}\}develop a complication of pregnancy \{\{nl\}\}   \{\{fa-bolt\}\}poor coping mechanisms,  \{\{nl\}\}  \{\{fa-bolt\}\}poverty,\{\{nl\}\}   \{\{fa-bolt\}\}lack of support people, \{\{nl\}\}  \{\{fa-bolt\}\} genetic inheritance,\{\{nl\}\}}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{FACTORS THAT CAUSE A PREGNANCY AS HIGH RISK}}  \tn
\SetRowColor{LightBackground}
\mymulticolumn{1}{p{8.4cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/aaah_1705760354_received_753602993289131.png}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{\{\{ac\}\}PSYCHOLOGICAL}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{FACTORS THAT CAUSE A PREGNANCY AS HIGH RISK}}  \tn
\SetRowColor{LightBackground}
\mymulticolumn{1}{p{8.4cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/aaah_1705760613_received_349975497841736.png}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{\{\{ac\}\}SOCIAL}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{FACTORS THAT CAUSE A PREGNANCY AS HIGH RISK}}  \tn
\SetRowColor{LightBackground}
\mymulticolumn{1}{p{8.4cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/aaah_1705760751_received_1556828795074183.png}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{\{\{ac\}\}PHYSICAL}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{PRE-GESTATIONAL CONDITIONS AFFECTING OUTCOMES}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{} \tn 
\mymulticolumn{1}{x{8.4cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}1. Cardiac disease \{\{nl\}\} 2. diabetes mellitus\{\{nl\}\} 3.thyroid problems\{\{nl\}\} 4.asthma\{\{nl\}\}5.obesity} \tn 
% Row Count 3 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{RHEUMATIC HEART DISEASE (RHD)}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{\{\{fa-bolt\}\} bacteria called {\bf{streptococcus}}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{\{\{fa-bolt\}\} permanent damage to heart  valves} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{\{\{fa-bolt\}\} begins with strep throat} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{\{\{fa-bolt\}\} inflammatory➟heart, joint, skin, or brain} \tn 
% Row Count 5 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{\{\{fa-bolt\}\} heart work harder to pump blood.} \tn 
% Row Count 6 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{\{\{fa-bolt\}\} {\bf{Physical Exam:}} look 4 murmur or rub} \tn 
% Row Count 8 (+ 2)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{\{\{fa-bolt\}\} {\bf{confestive heart failure:}} damage is permanent/heart cannot pump out all of the blood} \tn 
% Row Count 10 (+ 2)
% Row 7
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{} \tn 
% Row Count 10 (+ 0)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{{\bf{\{\{ac\}\}NURSING CARE FOR MOTHER WITH RHD}}\{\{nl\}\}} \tn 
% Row Count 11 (+ 1)
% Row 9
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{\{\{nl\}\} `{\bf{\textasciicircum{}antenatal\textasciicircum{}}}` \{\{nl\}\}{\bf{ {\emph{Assessment}} }}\{\{nl\}\} \{\{fa-bolt\}\}Get the bp in sitting or lying position + same position \{\{nl\}\}\{\{fa-bolt\}\} Instruct to report coughing + Determine edema \{\{nl\}\}\{\{fa-bolt\}\} undergo ECG, CXR( use lead apron), or 2D echo\{\{nl\}\} \{\{nl\}\}{\bf{ {\emph{Rest}} }} \{\{nl\}\}\{\{fa-bolt\}\}client needs two rest periods\{\{nl\}\}   ~             ~     {\bf{1. FULLY RESTING —}}not getting up \{\{nl\}\}   ~             ~      {\bf{2. FULL NIGHT'S SLEEP —}}rest in left lateral recumbent position  (prevent supine hypotensive syndrome) \{\{nl\}\} \{\{nl\}\} {\bf{ {\emph{NUTRITION}} }} \{\{nl\}\}\{\{fa-bolt\}\} limit salt intakebut not severly restricted\{\{nl\}\}\{\{fa-bolt\}\}iron supplement to help prevent anemia. \{\{nl\}\}\{\{nl\}\}{\bf{ {\emph{ MEDICATION}} }}\{\{nl\}\} \{\{fa-bolt\}\}{\bf{ Digoxin }}— check the heart rate below 60bmp/slow fetal heart rate \{\{nl\}\}\{\{fa-bolt\}\}{\bf{Penicillin Antibiotic}}—prevent recurrence of rheumatic fever \{\{nl\}\}\{\{fa-bolt\}\}{\bf{ prophylactic penicillin antibiotic }}—protection from subacute bacterial endocarditis. \{\{nl\}\} \{\{nl\}\}  {\bf{AVOIDANCE OF INFECTION}}\{\{nl\}\} \{\{fa-bolt\}\}Avoid visiting  \{\{nl\}\}\{\{fa-bolt\}\} monthly screening \{\{nl\}\}\{\{fa-bolt\}\}inform health personnel  \{\{nl\}\}} \tn 
% Row Count 35 (+ 24)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{RHEUMATIC HEART DISEASE (RHD) (cont)}}  \tn
% Row 10
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{\{\{nl\}\}`{\bf{\textasciicircum{}LABOR AND BIRTH\textasciicircum{}}}`\{\{nl\}\}\{\{fa-bolt\}\}Monitor fetal heart rate and uterine contractions  \{\{nl\}\}\{\{fa-bolt\}\}Assess a woman''s blood pressure, pulse and  respirations frequently.  \{\{nl\}\}} \tn 
% Row Count 4 (+ 4)
% Row 11
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{\{\{nl\}\}`{\bf{\textasciicircum{}POSTPARTUM\textasciicircum{}}}` \{\{nl\}\}\{\{fa-bolt\}\}Antiembolic stockings and ambulation may needed \{\{nl\}\}\{\{fa-bolt\}\} encourage uterine involution  such as oxytocin (Pitocin) \{\{nl\}\}\{\{fa-bolt\}\} Kegel exercises \{\{nl\}\}\{\{fa-bolt\}\} stool softener  \{\{nl\}\}} \tn 
% Row Count 9 (+ 5)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Pregnant Women With Cardiac Disease}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{{\bf{Assessment }}} \tn 
\mymulticolumn{1}{x{8.4cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}{\bf{ {\emph{Ask for the history of}} }}:\{\{nl\}\}  •rheumatic fever \{\{nl\}\} •heart lesion\{\{nl\}\}  •Dyspnea \{\{nl\}\} •paroxysmal nocturnal dyspnea \{\{nl\}\} •Orthopnea \{\{nl\}\} •Hemoptysis\{\{nl\}\}  •Prophylaxis with long acting penicillin} \tn 
% Row Count 6 (+ 6)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{{\bf{Examination}}} \tn 
\mymulticolumn{1}{x{8.4cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}{\bf{ {\emph{What to expect during examination? }} }} \{\{nl\}\}•Murmur \{\{nl\}\} • Accentuated heart sound \{\{nl\}\} •Arrythmia\{\{nl\}\}  •Central cyanosis \{\{nl\}\} •Displaced apex belt \{\{nl\}\}   \{\{nl\}\}     ` \{\{ac\}\} {\bf{left side heart failure}} `\{\{nl\}\} •Gallop rhythm \{\{nl\}\}•crepotations over lung bases\{\{nl\}\} •pleural effusion\{\{nl\}\}\{\{nl\}\}  ` \{\{ac\}\} {\bf{right side heart failure}} `\{\{nl\}\}•Congested neck vein,  \{\{nl\}\}•enlarged tender, liver, ascites \{\{nl\}\}•edema lower limbs} \tn 
% Row Count 17 (+ 11)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{{\bf{Diagnostic Test}}} \tn 
\mymulticolumn{1}{x{8.4cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}• {\emph{ {\bf{Chest x-ray}} }} (cardiac enlargement, pulmonary congestion or  pleural effusion) \{\{nl\}\}•{\emph{ {\bf{Echo cardiography/2d echo}} }} (cardiac structure and functions) \{\{nl\}\}•{\emph{ {\bf{Electrocardiogram}} }} (ECG)} \tn 
% Row Count 23 (+ 6)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{{\bf{Effects of Heart Disease on Pregnancy}}} \tn 
\mymulticolumn{1}{x{8.4cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}• Abortion\{\{nl\}\}•Intrauterine Growth Retardation \{\{nl\}\} •still birth\{\{nl\}\}•premature labor\{\{nl\}\}•Intrauterine fetal demise} \tn 
% Row Count 27 (+ 4)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{{\bf{MANAGEMENT}}} \tn 
\mymulticolumn{1}{x{8.4cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}•antenatal visit\{\{nl\}\}•More rest\{\{nl\}\}•Diet is directed \{\{nl\}\}•avoid infection\{\{nl\}\}•Hospitalization\{\{nl\}\}} \tn 
% Row Count 31 (+ 4)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Pregnant Women With Cardiac Disease (cont)}}  \tn
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{{\bf{MEDICAL TREATMENT}}} \tn 
\mymulticolumn{1}{x{8.4cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}{\bf{•DIGOXIN:}}indicated in {\bf{ {\emph{atrial fibrillation}} }} to slow the ventricular response and in {\bf{ {\emph{acute heart failure}} }} to increase myocardial contractility.\{\{nl\}\}{\bf{•DIURETICS:}}used in an {\bf{ {\emph{acute and chronic heart failure}} }} with potassium supplement in prolonged therapy.\{\{nl\}\}{\bf{•BETA-ADRENERGIC BLOCKERS:}} as propranolol may be indicated for {\bf{ {\emph{arrhythmia}} }} associated with ischemic heart disease.\{\{nl\}\}{\bf{•AMYNOPHYLLINE:}} relieves {\bf{ {\emph{bronchospasm}} }}\{\{nl\}\}{\bf{•HEPARIN: }}is indicated in patients with{\bf{ {\emph{ artificial valves or atrial fibrillation}} }}\{\{nl\}\}{\bf{•MORPHINE 15mg IV:}} is given to treat {\bf{ {\emph{acute pulmonary edema}} }} by decreasing anxiety venous return\{\{nl\}\}•ADMINISTRATION OF OXYGEN} \tn 
% Row Count 17 (+ 17)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{{\bf{SURGICAL TREATMENT}}} \tn 
\mymulticolumn{1}{x{8.4cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}{\bf{•THERAPEUTIC ABORTION: }}considered in class Ill and IV\{\{nl\}\}{\bf{•CARDIAC SURGERY: }}alternative} \tn 
% Row Count 21 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{CLASSIFICAT!ON  OF HEART DISEASE}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{{\bf{HEART DISEASE}} is divided into {\emph{4 categories}} based  on criteria established by the {\emph{New York State  Heart Association.}}} \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{{\bf{LABOR AND DELIVERY}}\{\{ac\}\}} \tn 
% Row Count 4 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{{\bf{Class 1}}} \tn 
\mymulticolumn{1}{x{8.4cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}\{\{fa-bolt\}\}No discomfort  \{\{nl\}\}\{\{fa-bolt\}\} EASY AND NOT A PROLONGED \{\{nl\}\}} \tn 
% Row Count 7 (+ 3)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{{\bf{Class 2}}} \tn 
\mymulticolumn{1}{x{8.4cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}\{\{fa-bolt\}\}ordinary activity \{\{nl\}\}\{\{fa-bolt\}\} EASY AND NOT A PROLONGED \{\{nl\}\}} \tn 
% Row Count 10 (+ 3)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{{\bf{Class 3}}} \tn 
\mymulticolumn{1}{x{8.4cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}\{\{fa-bolt\}\} less than ordinary activity\{\{nl\}\}\{\{fa-bolt\}\}complete bed rest \{\{nl\}\}\{\{fa-bolt\}\} NO "TRIAL LABOR"". \{\{nl\}\}\{\{fa-bolt\}\}ELECTIVE CESAREAN SECTIO \{\{nl\}\}} \tn 
% Row Count 15 (+ 5)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{{\bf{Class 4}}} \tn 
\mymulticolumn{1}{x{8.4cm}}{\hspace*{6 px}\rule{2px}{6px}\hspace*{6 px}\{\{fa-bolt\}\}dyspnea at rest\{\{nl\}\}\{\{fa-bolt\}\} usually  advised to avoid pregnancy.\{\{nl\}\}\{\{fa-bolt\}\}NO "TRIAL LABOR"".  \{\{nl\}\}\{\{fa-bolt\}\}ELECTIVE CESAREAN SECTIO \{\{nl\}\}} \tn 
% Row Count 20 (+ 5)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{{\bf{POSTPARTUM}} \newline \{\{fa-bolt\}\}Observation for 48 hours  \{\{nl\}\}\{\{fa-bolt\}\} early ambulation is desirable to avoid  \newline thromboembolism\{\{nl\}\}\{\{fa-bolt\}\} Breastfeeding is not allowed\{\{nl\}\}\{\{fa-bolt\}\}ligation maybe advised  \{\{nl\}\}}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}