NURS 3334 Lecture Notes - Lecture 24: New York Heart Association Functional Classification, Iron-Deficiency Anemia, Congenital Heart Defect
Document Summary
Less than 2 years between pregnancies: 3. Heart disease: 1% pregnancies complicated by heart disease, 50% related to rheumatic fever, 2nd and 3rd causes congenital heart disease and mitral valve prolapse, **highest risk group: pre-pregnancy pulmonary hypertension. 3 mo. of age (avg. onset 24 days: 85% have meningitis, mortality rate up to 23, 50% of survivors have neurological damage. Std, single/teenage mother, homeless: transmission via oral, vaginal or anal sex as well to unborn child, all pregnant women should be screened (vdrl, rpr, goal of screening: early identification and treatment of infection in pregnancy (40- If women seropositive: counsel safe sex or abstinence to avoid transmission, 15-25% transmission risk to infant if pregnant and untreated, higher rate of transmission if breastfeed, exposure / screening. Iv zdv administered during labor: (***rates of transmission approx. Immunization in pregnant women contraindicated: must not become pregnant for 3 months after vaccination, highest risk to fetus: first trimester, approx.
