How does the heart reposition during pregnancy?

• A. Move upward, forward to the left, and assume a more horizontal position
• B. Move downward and to the right
• C. Remain in the same position
• D. Move posteriorly

Answer: (A)

During pregnancy, the growing uterus pushes the diaphragm upward, which lifts the heart higher in the chest and shifts it toward the left. This combination causes the heart to sit more horizontally as its long axis tilts forward-left. It’s a normal adaptation that can also make the apical impulse feel higher and slightly left of its usual spot. The heart does not drop downward, stay in the same position, or move posteriorly during pregnancy.