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Case Study: Obstetrics/Maternity Gestational Diabetes Case Study

Uploaded: 2 years ago
Contributor: imjustme
Category: Medicine
Type: Solutions
Rating: N/A
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Filename:   gestational diabetes.docx (11.22 kB)
Page Count: 2
Credit Cost: 1
Views: 188
Last Download: N/A
Description
Meet the patient:
Amanda Garrison is a 29-year-old multigravida at 28-weeks gestation. She has received prenatal care since 8 weeks gestation at a perinatal practice that is staffed by an RN, a Certified Nurse Midwife (CNM), and a physician specializing in Perinatal Medicine (perinatologist). She comes to the clinic for a routine prenatal visit.
Transcript
Obstetrics/Maternity Gestational Diabetes Case Study Amanda Garrison is a 29-year-old multigravida at 28-weeks gestation. She has received prenatal care since 8 weeks gestation at a perinatal practice that is staffed by an RN, a Certified Nurse Midwife (CNM), and a physician specializing in Perinatal Medicine (perinatologist). She comes to the clinic for a routine prenatal visit. 1. C . 4-1-1-1-3 2. B. Youngest child weighed 4300 grams at 39 weeks gestation… 3. B. Follow an unrestricted diet and exercise pattern…. 4. C. Hormonal changes in second and third trimester… 5. A. You will need to be tested periodically…. 6. B. Choose complex carbs high in fiber 7. B. Prior to breakfast and two hours after each meal 8. D. Two episodes of accelerations… 9. B. Assist client to the bathroom to empty her bladder 10. C. Reapply external fetal monitor 11. B. 10 ml/hr 12. C. Elevated glucose in labor increases risk for neonatal hypoglycemia. 13. A. past or present opioid dependence 14. C. Request that the prescription is changed 15. C. Contact nursing supervisor 16. D. Reposition client using McRoberts Maneuver 17. A. Unilateral absence of the Moro reflex 18. C. Breastfeeding should be initiated immediately and continued on demand 19. B. A multigravida who had an uncomplicated term delivery and is breastfeeding 20. B. speak to the nurse in the hall 21. A. midline at the umbilicus 22. A. most women with gestational diabetes return to normal levels after delivery 23. B. if a dose is taken more than three hours late a backup method must be used

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