Gestational Diabetes Hesi Case Study – 2024 Questions and Answers Already Passed

Gestational Diabetes Hesi Case Study – 2024 Questions and Answers Already Passed How should the nurse record Danielle's obstetrical history using the G-T-P-A-L designation? 5-2-1-1-4 Gravidity (G) is defined as the number of times pregnant, including the current pregnancy. Term (T) is defined as any birth after the end of the 37th week, and preterm (P) refers to any births between 20 and 37 weeks. Both term and preterm describe liveborn and stillborn infants. Abortion (A) is any fetal loss, whether spontaneous or elective, up to 20 weeks gestation. Living (L) refers to all children who are living at the time of the interview. Multiple fetuses such as twins, triplets, and beyond are treated as one pregnancy and one birth when recording the GTPAL. Danielle's GTPAL is 5 (pregnancies counting current one)- 2 (infants born at 38 and 41 weeks) - 1 (twins born at 35 weeks) - 1 (spontaneous abortion at 10 weeks) - 4 (each twin and the 2 singletons, all living). Which information does the nurse recognize in the client's history to support a diagnosis of gestational diabetes? Child weighed 9 lbs (4.08 kg) at 41 weeks' gestation. Birth of an infant weighing more than 9 lbs (4.08 kg) is a risk factor for gestational diabetes. Other risk factors include maternal age older than 25, obesity, history of unexplained stillborn, family history of Type 1 diabetes in a first-degree relative, strong family history of Type 2 diabetes, and history of gestational diabetes in a previous pregnancy. Ethnic groups at increased risk include Hispanic, Native-American, Asian, and African-American. Which instruction should the nurse give the client? Follow an unrestricted diet and exercise pattern for at least 3 days before the test. When the client follows an unrestricted diet and exercise pattern the test is a true determination of the body's ability to handle the glucose load given after the FBG is drawn. The nurse's response should be based on the understanding of which normal physiologic change of pregnancy? Hormonal changes in the second and third trimesters result in increased maternal insulin resistance. Increased levels of hormones increase insulin resistance because they act as insulin antagonists. This serves as a glucose-sparing mechanism to ensure an adequate glucose supply to the fetus. While most pregnant women's bodies are able to handle this insulin resistance, women with gestational diabetes cannot and therefore demonstrate an impaired tolerance to glucose during pregnancy and develop hyperglycemia. Which response should the nurse give to the client? select all that apply "Hyperglycemia often presents as increased thirst and urination." This is accurate. Hyperglycemia manifestations include increased thirst and increased urination. "Hyperglycemia causes a headache and flushed, dry skin." This is accurate. Hyperglycemia symptoms include headache