Running head: Case Study on Y.L 1
Case Study on Y.L
Erica Burling
NUR 360 Case Study 1
Lourdes University College of Nursing
, Case Study on Y.L 2
Scenario
You are working as an RN in a large women’s clinic. Y.L., a 24-year-old Asian woman, arrives
for her regularly scheduled obstetric appointment. She is in her 26th week of pregnancy and is a
primigravida. After examining the patient, the nurse-midwife tells you to schedule Y.L. for a
50-g glucose challenge. You review Y. L’s chart and note she is 5’3” and weighs 143 pounds, and
her prepregnancy body mass index (BMI) is 25. Her father has type 2 diabetes mellitus (DM),
and both paternal grandparents had type 2 DM. You enter the room to talk to Y.L.
1. You instruct Y.L. to drink a 50-g solution of glucose and have her blood drawn 1 hour
after ingesting the solution. What is the purpose of a 50-g glucose challenge?
A 50-g glucose challenge is not the only test done to predict gestational diabetes. This test does
not consist of fasting. The mother drinks the 50-g solution and after an hour, after she drank it
one blood sample is taken. There are two steps to this test. If the 50-g solution test results are
high then a 100-g solution test is taken next. This helps determine if a woman is at high risk for
gestational diabetes or already has gestational diabetes.
2. The results came back from the lab. Y. L’s blood glucose was 151 mg/dl. What does this
mean?
During pregnancy, a women’s glucose level should not be above a 140 mg/dl. If their blood
glucose exceeds 140 mg/dl then they are sent back in to get a 100-g solution test (3-hour glucose
tolerance test). For this test, the woman will have to fast 8-14 hours before the test is done. Then
the woman will drink the 100-g solution. The woman gets her blood drawn one hour before the
test and three times every 60 minutes after she drinks the solution.
Case Study Progress
Case Study on Y.L
Erica Burling
NUR 360 Case Study 1
Lourdes University College of Nursing
, Case Study on Y.L 2
Scenario
You are working as an RN in a large women’s clinic. Y.L., a 24-year-old Asian woman, arrives
for her regularly scheduled obstetric appointment. She is in her 26th week of pregnancy and is a
primigravida. After examining the patient, the nurse-midwife tells you to schedule Y.L. for a
50-g glucose challenge. You review Y. L’s chart and note she is 5’3” and weighs 143 pounds, and
her prepregnancy body mass index (BMI) is 25. Her father has type 2 diabetes mellitus (DM),
and both paternal grandparents had type 2 DM. You enter the room to talk to Y.L.
1. You instruct Y.L. to drink a 50-g solution of glucose and have her blood drawn 1 hour
after ingesting the solution. What is the purpose of a 50-g glucose challenge?
A 50-g glucose challenge is not the only test done to predict gestational diabetes. This test does
not consist of fasting. The mother drinks the 50-g solution and after an hour, after she drank it
one blood sample is taken. There are two steps to this test. If the 50-g solution test results are
high then a 100-g solution test is taken next. This helps determine if a woman is at high risk for
gestational diabetes or already has gestational diabetes.
2. The results came back from the lab. Y. L’s blood glucose was 151 mg/dl. What does this
mean?
During pregnancy, a women’s glucose level should not be above a 140 mg/dl. If their blood
glucose exceeds 140 mg/dl then they are sent back in to get a 100-g solution test (3-hour glucose
tolerance test). For this test, the woman will have to fast 8-14 hours before the test is done. Then
the woman will drink the 100-g solution. The woman gets her blood drawn one hour before the
test and three times every 60 minutes after she drinks the solution.
Case Study Progress
