ACTIVE LEARNING TEMPLATE: System Disorder Jaimie Sinous STUDENT NAME _____________________________________ Cervical 9 Gestational Diabetes DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________ Alterations in Health (Diagnosis) Gestational Hypertension Pathophysiology Related to Client Problem In the event of insulin resistance, uptakes blood glucose that's prevented & blood sugar levels remain high. The body produces insulin production to overcome resistance, in gestational pregnancy production is up to 1.5 to 2 times. Health Promotion and Disease Prevention Proper Diet Exercise ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Obesity Hypertension Glycosuria Maternal age older than 25 Family hx of diabetes mellitus & preeclampsia Previous delivery of infant that was large or a stillborn Laboratory Tests Routine Urinarlysis Glucola screening test Oral Glucose tolerance test Persence of ketones in urine Hypoglycemia Hyperglycemia Shaking Clammy pale skin Shallow respirations Rapid pulse Vomiting Excessive wt gain during pregnancy Diagnostic Procedures Biophysical profile to ascertain fetal wellbeing Aminocentesis Nonstress test PATIENT-CENTERED CARE Nursing Care Monitor the clients blood glucose Monitor the fetus Close monitor of baby GDM glucose tolerance test Maintain symptoms Complications Medications Insulin Oral hypoglycemic therapy Glyburide Metformin Client Education Instruct pt to perform daily kick counts Educate pt about diet (standard diabetic diet, restricted carbohydrates intake) Instruct pt to self administer insulin Education about postpartum laboratory Spontaneous Abortion Infections (urinary/vaginal) Ketoacidosis Hypoglycemia Hyperglycemia Hydramnios Therapeutic Procedures Diet Physical Activity Self monitoring of blood glucose Insulin therapy ACTIVE LEARNING TEMPLATES Interprofessional Care Physicians Nurses Diabetes Educators Dietitians THERAPEUTIC PROCEDURE A11
