Page 143 - Critical Maternity & Newborn Health Nursing
P. 143

•  Exercise should not be attempted if blood glucose is in excess of

                          250 of mg/dl.

                       •  Avoid exercise after meals and when blood sugar may be low.

                       •  Carry simple sugar carbohydrate when exercising.

                       •  Carry an identification card that indicates the mother’s condition.

                       •  Eat after 15 minutes of prolonged exercise.


                       •  Monitor blood glucose to determine its variations.


                   Smoking:



                   Smoking is contraindicated because it has harmful effects on the mother

                   and fetus.


                   Traveling:



                       •  Patients can use a small travel-kit of insulin.

                       •  A diabetic person should wear an identification bracelet stating that

                          she is diabetic.

                              o  Teach patients to report signs of infection or pregnancy

                                 complication such as burning and itching and  leukorrhea

                                 (vaginitis ).

                              o  Explain necessity for frequent prenatal visit:


                   Health education must be appropriate to each trimester including:



                       •  Understanding of diabetes.

                       •  Self-care techniques.

                       •  Nutrition.

                       •  Support for a healthy pregnancy.

                       •  Schedule of prenatal visit should be every 2 weeks.




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