Assessment Nursing Background Planning Interventions Rationale Evaluation

Diagnosis knowlegde

Objectives: Risk for Gestational Short term: -Teaching the -Eating very Short term:
-decreased altered diabetes -After 30mins importance of frequent small -After 30mins
respiratory nutrition: less mellitus of health regularity of meals improves of health
rate than body (sometimes teaching, meals and insulin function teaching the
-dry mouth requirements referred to patient will be snacks when patient is bale
-weak and as GDM) is a able to taking insulin. -insulin needs to verbalized
pale form of verbalized her for the day can her
diabetes understanding -Teach and be adjusted understanding
Vital signs that occurs about demonstrate based on about
taken as during gestational client to periodic serum gestational
follow: pregnancy. diabetes. monitor sugar glucose diabetes.
T: 36.0 Most using a readings
PR: 86 women will Long term: fingerstick Long term:
RR: 16 no longer -After a week method. -Division of -After a week
BP: 100/80 have of nursing insulin dosage of nursing
diabetes intervention, -Discuss the considers basal interventions
after the the patient will type of insulin maternal needs the pagient is
baby is be able to dosage and and mealtime able to
born. demonstrate schedule(eg. insulin to food demonstrate
However, an improved Usually ratio amd her improved
some behavior and 4time/day; allows more beahvior and
women will lifestyle. 7:30am- NPH; freedom in lifestyle.
continue to 10:00am- meal-
have high regular; scheduling
blood 4:00pm-NPH;
glucose 6:00pm- -Diet specific
levels after regular) indi is necessary
delivery. It to maintain
is diagnosed -Refered to a normoglycemia
when higher registered and to obtain
than normal dietician to desired weight
blood individualized gain
glucose diet and
levels first counsel
appear regarding
during dietary
pregnancy. questions.

Gestational
diabetes is
diagnosed
using an
oral glucose
tolerance
test (OGTT).
This is done
at a
pathology
lab. You will
need to fast
overnight
before
having this
test. Blood
will be
taken to
check your
fasting
blood
glucose
level. After
this, you will
be given a
sugary drink
and have
your blood
tested one
and two
hours later.
You will be
asked to sit
and wait
between
tests. If your
blood
glucose
level is
above the
normal
range at
your fasting,
one or two
hour test,
you have
gestational
diabetes.

While
maternal
blood
glucose
levels
usually
return to
normal
after birth,
there is an
increased
risk of the
woman
developing
type 2
diabetes in
the future.
The baby
may also be
at risk of
developing
type 2
diabetes
later in life.