HESI Case Studies - Gestational Diabetes (Danielle Greene) exam 2024 with 100% complete solutions
The clinic nurse reviews Danielle's prenatal record prior to performing a nursing assessment. Danielle has given birth three times; once at 35 weeks (twins), once at 38 weeks (singleton) and once at 41 weeks (singleton). All of these children are alive and well. She had one spontaneous abortion at 10 weeks' gestation. How should the nurse record Danielle's obstetrical history using the G-T-P-A-L designation? correct answers5-2-1-1-4 Gravida (no. pregnancies, including current) Term (after wk 37) {live and stillborn} Preterm (between 20-37 wk) {live and stillborn} Abortion (fetal loss, up to 20 weeks) Living (all alive at time of interview) Which information does the nurse recognize in the client's history to support a diagnosis of gestational diabetes? correct answersChild weighed 9 lbs (4.08 kg) at 41 weeks' gestation Risk Factors: - previous birth over 9 lbs - maternal age > 25 - obesity - hx. of unexplained stillborn - fam hx of Type 1 diabetes in a first-degree relative - strong fam hx of type 2 DM - hx of gest diabetes.
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