NURS 3334 Lecture Notes - Lecture 13: New York Heart Association Functional Classification, Iron-Deficiency Anemia, Congenital Heart Defect
Document Summary
Iron transported actively across placenta for fetal erythropoiesis. Dietary iron sources and iron supplements to avoid deficiency. ***most common medical disorder of pregnancy (20% of women) 90% of cases of anemia in pregnancy: iron deficiency anemia. Labs: hgb less than 11 mg/dl 1st and 3rd trimester. Craving unusual food (pica) less than 10. 5 mg/dl 2nd trimester. Increased pregnancy risks among women with heart disease: Pre pregnancy htn at risk for this. 2nd and 3rd causes congenital heart disease and mitral valve prolapse. New york heart association functional classifications of organic cardiac disease. General management in pregnancy: don"t avoid sx. Class i: asymptomatic at normal levels of activity. ***the degree of disability may change as pregnancy progresses. ***typically functional classification determined at 3 months and 7-8 months. ***degree of disability more significant than underlying cardiac disease. Maternal cardiac risk, maternal obstetric risk, fetal and neonatal risk tachycardia)
