Gestational Diabetes Study-Explain why Annie and her husband

1) Explain why Annie and her husband Matt should seek preconception care as soon as possible. 2) What maternal and fetal /newborn complications should this nurse describe? 3) Describe what the nurse should tell Annie about how insulin needs will change her pregnancy. 4) At her second prenatal visit, Annie’s glycosylated hemoglobin was 5%. Explain what this finding indicates? 5) How should Annie’s diet be modified to meet the requirement of pregnancy? 6) What measure could the nurse to help prevent or reduce Annie’s and Matt’s level of stress? 7) During the third semester Annie asks the nurse if she will be able to breast-feed her baby. What should the nurse tell Annie? 8) What should the nurse emphasize in the teaching given Annie regarding birth control in the postpartum period and the method she has chosen? PREGNANT WOMAN DURING THE FIRST TRIMESTER 1) Laura last menstrual method period began on June 19, 2002. What should the nurse explain to Laura about her expected date of birth? 2) List the assessment components that the nurse practitioner should include as part of Laura’s health history, physical risk factors are identified. During the assessment process Laura asks the nurse why she has to answer so many questions and have such a complete exam, “I am very healthy and just having a baby! Are you looking for problems? Describe the approach the nurse should take in addressing Laura’s concern? 3) Indicate one expected out come for this nursing diagnosis and list three nursing measures that can be used to help Laura and her husband achieve the expected outcome. 4) What should the nurse tell Laura about coming for prenatal care when she notices problem rather than coming on a regular basis according to a schedule. 5) What should the nurse respond to Laura’s concern about feeling nauseous and vomiting? 6) How should the nurse answer question about Laura’s sexuality during pregnancy? 7) What approach should nurse make in addressing Laura’s expressed emotions and feelings regarding waiting to wait a little more to get pregnan?. Pregnant woman with preeclampsia 1) How should the nurse explain preeclampsia to Julia? 2) 2)What clinical manifestations did Julia most likely exhibit to lead to this diagnosis? 3)What risk factors for this does Julia present? 4)When assessing Julia, the nurse must be alert for signs that her mild preeclampsia is progressing to a more advanced stage. What clinical manifestations would indicate a worsening condition? 5) What should the nurse tell Julia to include in her diary? What are Julia’s learning needs with regard to the recommendation that she maintain a daily dairy of her health and well-being? 6)Primary expected outcome associated with magnesium sulfate? B)what are the priority nursing assessments and frequency of assessment for Julia while she is receiving magnesium sulfate therapy? C)identify the signs Julia would exhibit related to magnesium toxicity? Vegetarian woman with High BMI 1) What nutritional risk factors can be identified from the above data? 2) How should the nurse explore Annette diet? 3) What teaching is more important with iron supplement? 4) How should Annette be counseled regarding weight gain? 5) What other advice relating to nutrition and weight gain should Annette be given? Maternal Body System changes during Labor 1)What are the cardiovascular physiologic changes that occur during labor? 2)What position is beneficial for the laboring woman owing to these cardiovascular changes?