NURS 326: diabetes
Study online at https://quizlet.com/_iz5wu4
1. gestational diabetes: diabetes only during pregnancy
2. risks to the pregnancy include: - miscarriages
- preterm labor, ROM, birth,
- macrosomia may cause ptl 4500+ grams, due to the abundance of glucose
- shoulder dystocia due to macrosomia
- intrauterine growth restriction, intrauterine fetal demise/ stillbirth (due to diabetes effect on placenta/ less oxygen)
- infection (glucose in urine uti risk)
- intrauterine fetal demise
3. preexisting diabetes: risks to fetus: 1st trimester hyperglycemia 4-8x more likely to have baby w/
malformations, so keep glucose lvls normal
Congenital Malformations
- neural tube defects
- caudal regression (rare malformation of lower spine)
- cardiac defects
Variations in the size of the fetus
- macrosomia
- IUGR (placental insufficiency)
4. Myelomeningocele (spina bifida): most severe form of spina bifida in which the spinal cord and
meninges protrude through the spine
- type of neural tube defect
- delivered via c-section bc they do not want that sac to rupture
5. maternal diabetes plan of care/ interventions: - diet + exercise
- insulin
- monitoring BG lvls
- urine testing
- recognizing complications requiring hospitalization
- close surveillance of the baby (fetal kick counts)
- accurately determine EDC and mode of birth (if the baby has macrosomia it will look like theyre more developed than
they rly are)
1/3
Study online at https://quizlet.com/_iz5wu4
1. gestational diabetes: diabetes only during pregnancy
2. risks to the pregnancy include: - miscarriages
- preterm labor, ROM, birth,
- macrosomia may cause ptl 4500+ grams, due to the abundance of glucose
- shoulder dystocia due to macrosomia
- intrauterine growth restriction, intrauterine fetal demise/ stillbirth (due to diabetes effect on placenta/ less oxygen)
- infection (glucose in urine uti risk)
- intrauterine fetal demise
3. preexisting diabetes: risks to fetus: 1st trimester hyperglycemia 4-8x more likely to have baby w/
malformations, so keep glucose lvls normal
Congenital Malformations
- neural tube defects
- caudal regression (rare malformation of lower spine)
- cardiac defects
Variations in the size of the fetus
- macrosomia
- IUGR (placental insufficiency)
4. Myelomeningocele (spina bifida): most severe form of spina bifida in which the spinal cord and
meninges protrude through the spine
- type of neural tube defect
- delivered via c-section bc they do not want that sac to rupture
5. maternal diabetes plan of care/ interventions: - diet + exercise
- insulin
- monitoring BG lvls
- urine testing
- recognizing complications requiring hospitalization
- close surveillance of the baby (fetal kick counts)
- accurately determine EDC and mode of birth (if the baby has macrosomia it will look like theyre more developed than
they rly are)
1/3
