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Maternal Newborn Nursing

Chapter 12

Maternal Newborn NursingChapter 12

Unfolding Case Study

1.

a

Rationale: The patient is asking questions about the diagnosis. The nurse should provide teaching regarding gestational diabetes.

2.

a, b, d, e, h, i

Rationale: Nutrition education is the first level of glycemic control.

Education on how to monitor fasting and 2-hour postprandial blood glucose readings and the expected range provide a measure of glycemic control.

Daily FMCs provide reassurance of fetal well-being.

Gestational diabetes is associated with an increased incidence of PIH.

Exercise helps regulate blood glucose.

Relaxation techniques are included in childbirth education.

Gestational diabetes (GD) is not associated with a planned cesarean birth.

GD diagnosed in the third trimester is not associated with an increased risk for congenital anomalies.

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