lauren san millan
STUDENT NAME _____________________________________
risk reduction- gestational diabetes
CONCEPT ______________________________________________________________________________ REVIEW MODULE CHAPTER ___________
Related Content Underlying Principles Nursing Interventions
(E.G., DELEGATION, WHO? WHEN? WHY? HOW?
LEVELS OF PREVENTION,
ADVANCE DIRECTIVES)
Hyperglycemia - cause Risk factors -Monitor the client’s blood
excessive fetal growth - obesity glucose
(macrosomia) - hypertension - Monitor the fetus
Hypoglycemia - caused by - glycosuria - clients with GDM are
overdosing in insulin, - maternal age older than 25 manged initially with diet
skipped or late meals, or years and exercise alone. If
increased exercise. - family history of diabetes glucose levels are
mellitus persistently high, insulin is
- previous delivery of an begun.
infant that was large or -oral hypoglycemic therapy
stillborn. is an alternative to insulin
Expected findings in clients who have GDM
Hypoglycemia who require medication in
- nervousness addition to diet for blood
- headache glucose control. Most oral
- weakness hypoglycemic agents are
- irritability contraindicated for
- hunger gestational diabetes
- blurred vision mellitus. * use of glyburide
Hyperglycemia - perform daily kick counts
- 3Ps: polydipsia, - adhere to the appropriate
polyphagia, polyuria, diet (standard diabetic diet
- nausea and restricted
- abdominal pain carbohydrate intake)
- flushed dry skin -exercise
- fruity breath -perform self administration
- increase in urinary output of insulin
- understand the need for
postpartum laboratory
testing to include OGTT
and blood glucose levels
ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A1