MEDICATIONS FOR HEART DISEASES: Existing medications Diuretics Heparin for blood thinner – does not cross the placenta Prophylactic Antibiotics- prevent endocarditis Last 3-4 wks. of pregnancy, through labor and delivery - HIV in pregnancy/health assessment/ concern o Maternal/Fetal risks If they treat mom with meds and do C-section before ROM and mom doesn’t breastfeed, baby’s risk of contracting AIDS is <2% If baby contracts AIDS in womb- large lips, square forehead, FTT, recurrent infections, pneumonia, microcephaly, SGA, increased space between eyes. If contracted, lifespan would be 6 months- 1 year o usually have small heads o eyes far apart risk for infection loss of baby baby can test false positive for up to 6 months because of antibodies transferred from mom o Testing Babies born to HIV moms may test falsely positive for 6 months due to mom’s antibodies half of all HIV infections in babies are transferred during birth process o Treatment of pregnant woman meds vaccines (not live viruses) more frequent visits more frequent nonstress tests reduces transfer of aids to baby - Hyperemesis Gravidarum o Definition Severe vomiting o Treatment NPO o Nursing Care Monitor I and O, baby, decrease odors, good environment o A significant amount of vomiting during pregnancy o Potential cause could be hormones (HcG) o Treated in health care facility for this condition o At risk for dehydration, fluid and electrolyte imbalance o Can persist into second trimester or even throughout entire pregnancy o Can be dangerous to the baby if the mother continuously cannot keep anything down o Upwards of 3000 mL in 24 hours (vomiting) o Muscles that are dehydrated cramp uterus may cramp and can cause preterm contractions o Slowly resume PO fluids and food o Antiemetics are administered o Decrease any odors
32 o Make sure the environment is clean and quiet for rest and recovery o HcG levels are not really there unless you are pregnant. o They are going to be admitted into the hospital - Anemia o Types Iron deficiency most common medical condition of pregnancy HGB <10.5 needs supplementation A pregnant woman needs 1000 mg extra iron o 300-400 go to baby o 500 goes to mom’s blood o a 100 goes to the placenta o she loses 300 a day (urine, sweat, stool) Signs and symptoms o Pallor, fatigue o Increased risk of infection and hemorrhage o Low birth weight o Premature babies, even stillbirth Treatment o Iron supplementation o Food sources and fluids o Rest periods Folic Acid Deficiency most common cause of megaloblastic anemia needed for RNA and DNA synthesis need at least 400 mcg a day deficiency causes immature large RBCs that die early teach sources of folate: leafy greens, red meat, legumes Sickle cell Inherited disorder Trait occurs in 1 out of 10 African Americans Disease occur in 1 out of 400 African Americans Risk of placental abruption in crisis Tx: IV fluids, analgesic, exchange transfusion Thalessemia
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- Fall '12
- Nursing, progesterone, Fetal heart beat