Page 141 - Critical Maternity & Newborn Health Nursing
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• Achieving strict diabetic control by:
o Self-glucose monitoring.
o Nutritional adjustment.
o Insulin manipulation.
Provide genetic counseling.
During Antenatal Period
Goals of Nursing Care
• To maintain a physiologic equilibrium of insulin availability and
glucose utilization during pregnancy.
• To deliver an optimally healthy mother and newborn.
Assessment
Nursing history:
• Previous history of gestational DM.
• History of pre-eclampsia.
• Previous infant, >4000gm.
• Family history of DM.
Physical examination:
• Frequent urination beyond first trimester and prior to third.
• Presence of monilial vaginitis.
• Fundal height greater than expected.
Laboratory evaluation:
• Elevated fasting plasma glucose.
• Elevated 3-hour glucose tolerance test.
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