Page 147 - Critical Maternity & Newborn Health Nursing

o Any procedure.

• Continuous monitoring of maternal and fetal well being by using

electronic fetal monitoring.

• Monitoring blood glucose level every one or two hours.

• Administer glucose solutions and subcutaneous or intravenous

insulin as ordered.

• Assist with oxytocin induction of labor as required.

• Be prepared for emergency cesarean section and neonatal

resuscitation.

During Postpartum

• Continue frequent monitoring of blood glucose after delivery since

levels may swing markedly.

• Administer glucose solutions and insulin as order.

• Encourage breastfeeding.

• Educate patient regarding contraception.

• Teach GDM women to be tested for DM at 4-6 week post-partum

and periodically.

• Encourage GDM women to maintain optimum weight to prevent

or postpone the onset of DM

Evaluative Outcome Criteria

• The successful delivery of a healthy infant.

• The woman feels comfortable with caring for the newborn infant.

• The patient demonstrates her understanding of teaching by

modifying her diet and activity and by frequent monitoring of blood
glucose levels after delivery.

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