Essay on Gestational Diabetes

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Gestational Diabetes

The clinic RN reviews Amanda's prenatal record prior to performing a nursing assessment. Amanda has given birth twice, once at 35-weeks (twins) and once at 39-weeks (singleton). All of these children are alive and well. She has had one spontaneous abortion at 9-weeks gestation.
How should the nurse record Amanda's obstetrical history using the G-T-P-A-L designation?
A) 3-2-0-1-3.
B) 3-1-1-1-2.
C) 4-1-1-1-3.
D) 4-2-1-0-2.
Correct answer(s): C

The nurse notes that Amanda's fasting 1 hour glucose screening level, which was done two days previously, is 158 mg/dl.
The nurse recognizes that what information in the client's history supports a diagnosis of gestational diabetes?
A) Maternal great-aunt has
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B) Choose complex carbohydrates that are high in fiber content.
C) Increase the percentage of protein in the diet if anemia develops.
D) Vary timing of meals and snacks based on individual preferences.
Correct answer(s): B

The RN diabetes educator makes a plan of care to teach Amanda to monitor her glucose levels. The RN diabetes educator discusses the use of self-glucose monitoring and gives Amanda verbal and written guidance about optimal glucose levels at each glucose testing point throughout the day. The nurse also provides instruction about calibration of the glucose monitor, fingerstick technique, and use of the monitor for testing. After reviewing the instructions and a successful return demonstration, the diabetes educator and Amanda agree to meet after Amanda's prenatal appointment to follow-up on today's teaching/learning.
Which fingerstick blood glucose (FSBG) testing protocol should the diabetes educator recommend for Amanda?
A) Only if symptoms of hypoglycemia or hyperglycemia occur.
B) Prior to breakfast (fasting) and two hours after each meal.
C) Before and two hours after all meals, at bedtime, and during the night.
D) Once daily until glucose levels are stabilized, then weekly.
Correct answer(s): B

A Complication Occurs

Amanda manages her gestational diabetes with diet. She experiences a few episodes of postprandial hyperglycemia, but does not have to go on insulin. At her 36-week
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