Amelia Sung- Shoulder Dystocia,WELL EXPLAINED WITH CORRECT ANSWERS GRADED A.

CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) “Gestational diabetes mellitus (GDM) is an impaired tolerance to glucose with the first onset or recognition during pregnancy. The ideal blood glucose level during pregnancy should range between 60 to 99 mg/dL before meals or fasting, and less than or equal to 120 mg/Dl.2 hr. after meals. Findings of diabetes mellitus can disappear a few weeks following delivery. However, approximately 50% of clients will develop type 2 diabetes mellitus later in life.” (Holman et al., 2019) DIAGNOSTIC TESTS (REASON & RESULTS) PATIENT INFORMATION EXPECTED PHYSICAL FINDINGS None of the following test were observed in the vsims - no results were given. • Glucose screening test/1-hr glucose tolerance test: 50g oral glucose load, followed by plasma glucose analysis 1 hr later performed at 24 to 48 weeks of gestation; fasting not necessary; a positive blood glucose screening is 130-140 mg/dL or greater; additional testing with a 3-hr oral glucose tolerance test (OGTT) is indicated.” • Presence of ketones in urine (Holman et al., 2019) Amelia Sung, Female Adm DX: labor induction due to gestational diabetes DOB: 7/11/1984 (36y) Height: 157 cm Weight: 83 kg Allergies: Shellfish Adm on: 8/15/2020 • “Hypoglycemia: nervousness, headache, weakness, irritability, hunger, blurred vision.” • “Hyperglycemia: polydipsia, polyuria, nausea, abdominal pain, flushed dry skin, fruity breath.” • Shaking • Rapid pulse • Clammy pale skin • Excess weight gain during pregnancy (Holman et al., 2019) ANTICIPATED NURSING INTERVENTIONS • Monitor clients blood glucose • Monitor vital signs • Monitor the fetus • Educate patient about lifestyle changes following delivery. • Vaginal examination • Provide emotional support for the patient. • Assess urine for the presence of ketones (Holman et al., 2019)